Reed Appraisers, Inc.

V-Car Report Order Form

Date:                ______________________

Name:              ___________________________________________

Company:         ___________________________________________________________

Address:           ___________________________________________________________

Line 2:              ___________________________________________________________

City:                 ___________________  State:  _____________   Zip:  _______________

Phone: ______________________ Ext __________   Fax: __________________

 

Vehicle Information

Year:                _______   Make:  ________________  Model:  _____________________

Serial Number:____________________________  Mileage:    _________________

Date of Loss:    ____________

Also provide list of optional equipment - if not shown on estimate sheet.

You may attach a scanned copy to an e-mail, FAX it to (301) 946-0489, or via mail to Reed Appraisers, 2313 Arcola Avenue, Wheaton, MD 20902.