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Total loss claim settlement report 2026
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- Click ‘Get Form’ to open the total loss claim settlement report in the editor.
- Begin by filling out the vehicle information section. Enter the plate number, state, VIN, model year, make, and model of the vehicle.
- Next, provide details for the registered owner. Fill in their name, address, city, state, and ZIP code. If applicable, also complete the legal owner information.
- Indicate the status of the vehicle by selecting one of the options: Retained by owner, Retained by insurance company, or Sold.
- In the insurance information section, enter the name of the insurance company and representative along with their contact number and address.
- Complete fields for file or claim number, date of loss, settlement date, and today’s date.
- Finally, answer whether the vehicle meets all salvage criteria by marking 'Yes' or 'No'. Ensure all sections are fully completed before submission.
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loss claim settlement report
By submitting a completed total loss claim settlement form. Note: Reports of total loss vehicles must include the insurers name, address, and the date of loss.
Insurance companies use this form to notify us within 15 days of settling a total loss claim on a vehicle. 038 This form is not valid unless fully completed.