Northern Illinois Auto Appraisals Inc.

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Claim Information :

Vehicle Location:

Northern Illinois Auto Adjusters

Insurance Company

Adjuster

Insurance

Date of Loss

Assignment Type

Estimater Review Heavy Equipments Property Damage Desk Review Diminished Value Other Exotic Catastrophone Motorcycle Recreational Warranty Claim Subrogation Auto

Cliam For

Claimant Insured Non-Insurance

Type of Loss

Collison Comprehensive Hit and Run Theft Vandalism Liabilty Property Damage Hail Flood Fire Glass Claim Windshield Claim Repo Borrower Other Stated Value

Type of Claim

Full Appraiasal Photos Only Scene Diagram DOI Full Appraisal (with remote fee) Photos Only(with remote fee) Inspection Only Glass Claim Mechanical Breakdown Desk Review Dimished Value Virtual Assignment Recreational Vehical Other Stated Value

Unit Type

Off Road Boat Heavy Equipment Auto/Truck One (1) Ton Limit Motorcycle Property Other RV/Trailer RCTExterior RCTExterioir (Renewal)` Hazard And Condition Hazard And Exterior (Renewal)

Insured

 Owner Information:

Buisness Name

Owner / Contact

Address

City

Zip Code

State

Alabama Alaska Arizona Arkansas California Colorado Connecticut Deleware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisana Maine Maryland Massachusetts Michigan Minnesotoa Mississippi Missouri Montana Nebraska Nevada New hampshire New jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsyvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Vehicle Location

Select Repair Shop Salvage/Tow Yard With Owner Workplace Other

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