CVAS

CREDIT VALLEY APPRAISAL REQUEST
*FROM CO.:
*ADDRESS / CITY:
*ADJ:
*TEL # / FAX #:
*CLAIM #:
*DOL:		*DED.:



*POLICY #:
*INSD NAME:
*INSD TEL# WK/HM/CELL
*LIC.#
*YEAR:
*MAKE
*MODEL:
*SER#:
*DAMAGE AREA:
*LOCATION:
*CONTACT:
*COMMENTS: