Insurance Vehicle Report Format
Prepared by: [Your Name]
Report Date: [Insert Date]
Report ID: [Insert Unique ID]
1. Vehicle Information
Make: [Insert Make, e.g., Toyota]
Model: [Insert Model, e.g., Camry]
Year: [Insert Year, e.g., 2020]
Vehicle Identification Number (VIN): [Insert VIN]
Odometer Reading: [Insert Reading, e.g., 45,000 miles]
2. Insurance Coverage
Policy Number: [Insert Policy Number]
Insurer Name: [Insert Insurer Name]
Policy Type: [Insert Type, e.g., Comprehensive, Liability, etc.]
Coverage Limits: [Insert Coverage Details, e.g., $100,000 per incident]
Additional Riders/Endorsements: [List Any Additional Coverage, e.g., Roadside Assistance, Rental Reimbursement]
3. Claims History
Date | Type of Claim | Description | Status | Repair Cost |
|---|
[MM/DD/YY] | [e.g., Collision] | [Brief Description of Incident] | [Closed] | [$ Amount] |
[MM/DD/YY] | [e.g., Theft] | [Brief Description of Incident] | [Pending] | [$ Amount] |
4. Accident and Incident History
5. Inspection and Maintenance Records
Date | Service Type | Provider Name | Notes |
|---|
[MM/DD/YY] | [e.g., Routine Check] | [Insert Provider Name] | [Insert Notes, e.g., Oil Change] |
[MM/DD/YY] | [e.g., Tire Rotation] | [Insert Provider Name] | [Insert Notes, e.g., Replaced Tires] |
6. Ownership and Title Information
Current Owner: [Insert Owner Name]
Previous Owners: [Insert Number]
Title Status: [Clean/Salvaged/Rebuilt]
Liens: [Yes/No; Insert Details]
7. Safety and Compliance Information
Recalls: [Yes/No; Insert Details]
Safety Ratings: [Insert Ratings, e.g., 5-Star Overall]
Compliance with Regulations: [Yes/No]
8. Vehicle Value
Market Value: [Insert Estimated Value, e.g., $18,500]
Valuation Source: [Insert Source, e.g., Kelley Blue Book]
9. Risk Assessment
10. Notes and Recommendations
Report Templates @ Template.net
