APPRAISAL REQUEST FORM


Please fill out the following form.
This will help RL Appraisals to serve you better.
We will make sure to get back to you as soon as possible.

Email address: (Required)

Comments:

Company:

Adjuster:

Policy No.

Date of Loss:

Insured:

Claimant:

Address:

Home Telephone No:

Business Telephone No:

Year/Make/Model:

Serial No:

Plate No:

Point of Impact:

Body Shop:

Contact:

Cross Roads:

Phone No:

Fax No:

Type of Loss:

Deductible:

Estimate:

Date Assigned:

Time:

Hamilton, Surrounding Areas and Niagara Peninsula

1-866-222-8122

Office:  (905)  774-6588
mobile:  (905)  517-4939

Office FAX:  (905)  774-9588
mobile FAX:  (905)  517-1181