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Allround
Mechanical
Underbody
Interior
Glass
No Damage
Mobile Repaired Roadworthy Theft Damage
Fire Damage
Dismantled Partly Repaired Unroadworthy Vandalised
Severity Light Medium
Heavy
Vehicle Repair Estimating Sheet
Insured/Owner/Third Party: Other:
Name: Name:
Address: Address:
Postcode: Postcode:
Tel: Tel:
Fax: Fax:
Mobile: Mobile:
Date of Accident Unknown
Date of Inspection
Able to Authorise Yes No Unknown
Repairs Authorised Yes No Unknown
Date of Decision
Claim Reference
Registration No.
Month/Year Reg
Excess Value TBA
VAT Status
Taxable Channel Isles
% Portion
Payable
Non Taxable TBA
Policy Number
General Data
Damage Areas Direction of Impact
Vehicle Status
Tyres As New Excellent Good Fair Poor
Illegal Not Available Other
Tread Depth O/S/F mm N/S/F mm O/S/R mm N/S/R mm Spare mm
Additional Tyres O/S/R/O mm N/S/R/O mm
Pre-Accident
As New Good Excellent Fair Poor
Condition
Steering Satisfactory Unsatisfactory Other
Brakes Satisfactory Unsatisfactory Other
Body Colour Estimated Repair Days
Mileage Unknown
Vin Number
Condition Description
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