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Use our On-line form or call/fax us directly.
Phone 401-447-2833
Fax (toll free) 877-554-5090

THIS FORM IS NOT IN USE. IT HAS BEEN HACKED. CONTACT US DIRECTLY THROUGH EMAIL OR PHONE.


SERVICES Auto
Including photos only, reinspections,
pre-inspections, repo's and lease turn-ins for:
Trucks, HE, Marine, RV's, Motorcycles, 
Emergency Vehicles, Trailers.
(please fill out as complete as possible) 

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Date:
Date of Loss:
Company:
Contact Person:
Position:
Address:
City, State, Zip:
Phone Number:
Fax Number:
Email: 
Sending Confirmation by: Email   Fax
Type of Assignment:
   
Claim Number:
Claim Type: Insured  Claimant  Other
Type of Loss:
Veh. Ownr. Name:
Address:
City / State / Zip:
Home Phone:
Work Phone:
Cell Phone:
   
Year:
Make:
Model:
Serial Number:
License Plate / State:
Color:
Vehicle Location: Location:
Address:
City:   
State / Zip  
Phone:  
   
Damage:   
   
Special Instructions:  
   

 

associateappraisal.com  

 

 

 

Associate Appraisal Services
P.O. Box 8542
Warwick, RI 02888
Phone 401-447-2833
Fax (toll free) 877-554-5090
Email dz@aas2010.com