Vehicle Appraisal Assignment

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Welcome to our Online Claim Portal Submit a Vehicle Appraisal ONLY Submit a New Assigment (All Other Claim Types)

Vehicle Appraisal Only Form

Fields marked with * are required

Customer Information

YOUR FIRST NAME * Required Field

COMPANY *

YOUR LAST NAME * Required Field

ADDRESS 1 * Required Field

WORK PHONE * Required Field

ADDRESS 2

CELL PHONE

CITY *

HOME PHONE

STATE *

EMAIL *

Not a Valid Email Address

ZIP *

Not a Valid Zip

TITLE

COUNTRY *

DEPARTMENT

Team Leader Information

FIRST NAME

LAST NAME

PREFERRED PHONE

Claim Information

First Party - Insured

Third Party - Claimant

Both Parties

CLAIM # *

POLICY #

ASSIGNMENT TYPE*

LOSS DATE * Required Field

Please provide a valid date

Insured Vehicle Details

VEHICLE YEAR *

Invalid Year !

LOSS TYPE

VEHICLE MAKE

VIN(last 6 digits)

VECHICLE MODEL *

DRIVEABLE

TOTAL LOSS

POINT OF IMPACT

DEDUCTIBLE

HAS COVERAGE BEEN CONFIRMED?

IS LIABILITY CLEAR?

WOULD YOU LIKE US TO ATTEMPT TO SECURE AN AGREED PRICE?

HAS THE INSURED PROVIDED YOU WITH ANY DAMAGE PHOTOS?

HAS THE INSURED PROVIDED YOU WITH ANY DAMAGE APPRAISALS OR REPAIR INVOICES?

INSTRUCTIONS/COMMENTS* Required Field

Insured Details

INSURED TYPE

Person

Business

COMPANY NAME * Required Field

FIRST NAME

ADDRESS 1

LAST NAME *
(If insured is unknown, input "UNKNOWN") Required Field

ADDRESS 2

WORK PHONE

CITY

CELL PHONE

STATE

HOME PHONE

ZIP

EMAIL
Not a Valid Email Address

COUNTRY

Insured Vehicle Location Details

LOCATION TYPE

New Location

Same as Insured

LOCATION NAME

ADDRESS 1* Required Field

WORK PHONE

ADDRESS 2

CELL PHONE*

CITY *

HOME PHONE

STATE *

EMAIL
Not a Valid Email Address

ZIP *

COMMENTS

COUNTRY*

Insured Vehicle Owner Details - If Different

FIRST NAME

ADDRESS 1

LAST NAME *

WORK PHONE

ADDRESS 2

CELL PHONE

Hyphens will be added for you when you type.

CITY

HOME PHONE

ZIP
Not a Valid Zip

EMAIL
Not a Valid Email Address

STATE

COUNTRY

Claimant Vehicle Details

VEHICLE YEAR *

Invalid Year !

LOSS TYPE

VECHICLE MODEL *

VIN(last 6 digits)

VEHICLE MAKE

DRIVEABLE

TOTAL LOSS

POINT OF IMPACT

DEDUCTIBLE

HAS COVERAGE BEEN CONFIRMED?

IS LIABILITY CLEAR?

WOULD YOU LIKE US TO ATTEMPT TO SECURE AN AGREED PRICE?

HAS THE CLAIMANT PROVIDED YOU WITH ANY DAMAGE PHOTOS?

HAS THE CLAIMANT PROVIDED YOU WITH ANY DAMAGE APPRAISALS OR REPAIR INVOICES?

INSTRUCTIONS/COMMENTS* Required Field

Claimant Details

CLAIMANT TYPE

Person

Business

COMPANY NAME * Required Field

FIRST NAME

ADDRESS 1

LAST NAME * Required Field

ADDRESS 2

WORK PHONE

CITY

CELL PHONE

STATE

HOME PHONE

ZIP
Not a Valid Zip

EMAIL
Not a Valid Email Address

COUNTRY

Claimant Vehicle Location Details

LOCATION TYPE

New Location

Same as Claimant

LOCATION NAME

ADDRESS 1* Required Field

WORK PHONE

ADDRESS 2

CELL PHONE

CITY *

HOME PHONE

STATE *

EMAIL
Not a Valid Email Address

ZIP *

COMMENTS

COUNTRY*

Claimant Vehicle Owner Details - if different

FIRST NAME

ADDRESS 1

LAST NAME

WORK PHONE

ADDRESS 2

CELL PHONE

Hyphens will be added for you when you type.

CITY

HOME PHONE

ZIP
Not a Valid Zip

EMAIL
Not a Valid Email Address

STATE

COUNTRY

Assignment Location

LOCATION TYPE

New Location

Same as Insured Vehicle

Same as Claimant Vehicle

ADDRESS*

CITY*

STATE*

Not a Valid Zip! ZIP*

COUNTRY *

COMMENTS

Attachments

Individual file size must not exceed 10MB

Frontier is currently submitting your form. Depending on the size of your attachment(s), this process may take a few minutes. Please be patient.

Please contact Frontier Technical Support at support@frontieradjusters.com.

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