Submit Assignment - Powertrain Analytics | Vehicle Fire Claim

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Vehicle Fire Claims – Submit Assignment Form

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Pre-Inspection Research Service

Please reference our Questions to Consider | Vehicle Fire Claims before filling out the form. Although most of the questions we suggest will be considered by most adjusters and appraisers, there might be additional questions that are not.

Answer all of the questions the best you can. Be as precise as possible. If there is a section you cannot answer completely, feel free to type unknown or none. This may or may not change the accuracy of our research, data or recommendations.

Powertrain Analytics - Vehicle Fire Claims

Basic Claim and Vehicle Data

Your First Name *

Your Last Name *

Your Company Name *

Street or PO Box *

City *

State *

Zip *

Your Telephone # *

Your Email *

Claim or File # *

Date of Loss *

Insured Name *

Claimant Name

Vehicle Year *

Vehicle Make *

Vehicle Model *

Current Mileage *

VIN *

Basic Claim Synopsis

If the owner or operator has an opinion as to where the fire started, what is that opinion? *

If the fire department or police have an opinion as to where the fire started, what is that opinion? *

Questions For Vehicle Operator

Was the engine running when the fire started? *

Was the vehicle in motion when the fire started? *

If the engine was running, approximately how long before the fire started? *

Were there any dashboard warning lights noticed right before the fire started? *

Did the fire start immediately after an impact or accident? *

Did the fire start with the engine and ignition off?

Were there any unusual vibrations or performance issues right before the fire started? *

List any repairs or services that were recently performed to the vehicle. *

Additional comments or information.

1 + 3 = ?Please prove that you are human by solving the equation *