Auto Exchange
Salvage Bid Request Form
Please complete the following and we will provide you with a guaranteed salvage bid within 24 hours.
* All fields are required.
Claim Number:
Claim Rep’s Name:
Claim Rep’s Telephone #:
Claim Rep’s Fax #:
Claim Rep’s Email:
Owner’s Name:
Year, Make and Model of Vehicle:
Vin #:
Mileage:
ACV:
Damage:
1. Rear, front, left side, flood etc…. (Please be as descriptive as possible)
2. Did the air bags deploy?
Yes
No
3. Is the vehicle drivable?
(i.e. does it run)
Yes
No
4. Do the doors open and close?
Yes
No
5. Damage estimate in dollars?
