Diminished Value Range Form

How much value has your car lost?

Here is where you can find out the amount of diminished value your vehicle may have sustained due to its accident history and subsequent repairs.

Auto Appraisal Group's Diminished Value Range Service is provided to assist you in determining if you should order a certified appraisal for a diminished value claim. Based upon the information you provide, this range will estimate the amount that your vehicle has diminished in value and help you determine how a professional, certified appraisal could support your claim of loss. It is not a guarantee that your car's loss of value is within the given range. It is based upon your description and is specific to your vehicle. An on-site inspection by a certified AAG agent is required to determine the actual amount of diminished value.

The fee for this service is $75. If you order a certified car appraisal after getting an AAG Diminished Value Range on that vehicle, we will credit $25 towards the car appraisal fee. We accept payment by VISA, MasterCard, or Discover card for this service. If you do not have one of these cards, you may print, fill out, and mail this form with a check to AAG, P.O. Box 7034, Charlottesville, VA 22906.

To receive our Diminished Value Range Service, complete the following form as accurately and completely as possible. The more information you provide, the more precise the Diminished Value Range will be.

NOTE: Please do not submit this form until repairs have been completed.

Customer Information

Credit Card Information

*Type of Card	Visa Mastercard Discover
*Card Number
*Expiration Date
*Security Code
Corporate Account #
Name on card if different from above
Billing Address if Different from above:
Street address
City
State
Zip/Postal code

Vehicle Information

Your request will receive our personal attention. If you do not hear from us within 48 hours, give us a call at 800-848-2886 for your DV range estimate.

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Fill in the following fields to get started. (* indicates required field)
*First name
*Last name
Company
*Street address
*City
*State
*Zip/Postal code
Country
*E-Mail address
*Day phone number
*Evening phone number
Cell phone number
Best time to call
*Please tell us how you found our website	Google Yahoo Bing AutoTraderClassic Hemmings Local Agent Referral Insurance Agent Referral Company: Business Referral Business: Yellowpages.com Other:

*Year
*Make
*Model
Trim (e.g.: XLT, Premium +, SE, Limited)
*Body Style / Doors
Enter complete model here (e.g.: Accord LX, Explorer 4X4, Eddie Bauer):
*Vehicle Identification Number (VIN - must have 17 digits):
Transmission:	Automatic Manual
Vehicle Pre-loss Condition:
*Mileage at time of accident:
*This diminished value claim is being submitted to which insurance company?
Repair Details:
*Date Of Damage (e.g. 00/00/00):
*Total Repair Cost:
Have all Repairs Been Completed?	Yes No
Are Repairs Satisfactory?	Yes No
Fax your final repair invoice to 888-575-9319 or .
Repair invoice faxed to office:	Yes No
Has this vehicle been involved in an accident or had any damage prior to this incident?	Yes No If yes, please explain:
Additional vehicle information:
I would like to subscribe to the AAG Newsletter "For What It's Worth"	Yes No
NOTE: Please do not submit this form until repairs have been completed.

Diminished Value Range Form

How much value has your car lost?

Customer Information

Credit Card Information

Billing Address if Different from above:

Vehicle Information

Repair Details: