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Claim Info
* Assignment Type :
-- Select Assignment Type --
Salvage
Title Only
Title Transfer Only
Tow Service Only
* Coverage Type :
-- Select Coverage Type --
None
Comp
Collision
Other
*
Claim # :
Independent Company :
Ind. Company Ph. No.:
Ind. Email Id:
PickUp Location Info
*
Res/Non-Res:
Res
Non-Res.
*
Location Name :
*
Address :
*
City :
*
State/ZIP :
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
GU
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VT
VI
VA
WA
WV
WI
WY
* Contact No. :
* Email Id :
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Vehicle Info
*
VIN :
*
Year :
*
Make :
*
Model :
Series :
Vehicle Type :
Body Type :
Engine Size :
License Plate :
*
Loss Type :
----Select Loss Type---
Collision
Fire
Flood/Water
Hail
RollOver
Stripped
Theft/Repo
Theft Recovery
Theft Stripped
Unrecovered Theft
Vandalism
Water
Other
Basket Case
Burn Job
Severe Rollover
Damage All Over
Severely Damaged
Complete Strip
*
Loss Date :
Damage Amount :
VIN Extracted Information
VIN details could not be extracted.
Possible reasons are -
You might have provided an invalid VIN.
VIN decoding service may not be available at the moment.
An error might have been occured during VIN decoding.
VIN :
Year :
Make :
Model :
Series :
Vehicle Type :
Body Type :
Engin Size :
License Plate :
Bound with bid...
I.V. Auto Inc.
Change Assignment Data
Owner Info
*
First Name :
*
Last Name :
Same as Pickup location address.
Address :
City :
State/ZIP :
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
GU
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VT
VI
VA
WA
WV
WI
WY
* Home Phone :
Work Phone :
Mobile No. :
* Email Id :
Vehicle Images
Supporting Documents
Notes
OOPS! Assignment can not be created at the moment. Please correct the following errors....
Associated GSB ID#
New Assignment has been created successfully!!!
IV AUTO#
:
VIN :
Claim No :
VIN MATCH FOUND
Vin "
" is found already assosiated with this GSB. Would you like to associate the bid with this assignment?