Total Loss Appraisal Form Need A Total Loss Appraisal? Fill the form below so we can help! Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.NameFirstLastEmail *Phone Number *Date of Loss *Mileage on Date of Loss *VIN *1st or 3rd Party Insurance *1st Party3rd PartyUpload Total Loss Report from Insurance Click or drag a file to this area to upload. provide Name Loss Upload Photos of Vehicle Damage Click or drag a file to this area to upload. Please provide a brief summary of what happened to your vehicle:Submit