Total Loss Dispute Intake

Submit your claim. Upload the evidence.

Start with your insurance valuation and vehicle information. You can also upload an estimate, photos, and claim correspondence for a more complete preliminary review.

Total Loss SpecialistsFamily Owned & OperatedIndependent Appraisal Company

Do not fill this out:

Step 1

Tell us about the claim

Fields marked required help us identify the vehicle and understand the valuation issue.

Full name *

Phone *

Email *

State *

VIN

Mileage

Vehicle year

Make & model

Insurance offer

Insurance company

What do you believe is wrong with the valuation? *

Step 2

Upload supporting evidence

Use separate fields for the most important documents. PDF, JPG, JPEG, and PNG are recommended.

1Insurance valuation reportCCC, Mitchell, Audatex, or carrier valuation2Repair estimate or supplementBody shop or insurer estimate3Vehicle / damage photoOne representative photo per field4Claim correspondenceOffer letter or relevant email saved as PDF/image

Privacy note: Upload only documents needed for the vehicle claim. Do not submit Social Security numbers, payment-card data, medical records, or unrelated sensitive information. Netlify Forms limits apply to uploads; see the included launch guide.

Submitting this form does not create an attorney-client relationship, guarantee an outcome, or constitute legal advice.