TOTAL-LOSS VALUATION REPORT — REVIEW WORKSHEET
TurnYourClaim | Prepared 2026-09-14

Purpose: Organize factual questions about a valuation report. This is not an
appraisal, payout estimate, legal demand, or claim submission. It does not set
or extend a deadline. Keep your completed copy on your own device.

REPORT RECORD
Report provider and version: ______________________________________________
Report received on: _______________________________________________________
Loss date: ________________________________________________________________
Valuation date used in report: _____________________________________________
Vehicle description in report: ___________________________________________
Insurer's vehicle value: __________________________________________________
Offered payment (after additions/deductions): ______________________________
My insurer or another person's insurer: ___________________________________

ONE DISPUTED ITEM PER ENTRY (copy this block when needed)
Report page/line: _________________________________________________________
What the report says: _____________________________________________________
What I can verify: ________________________________________________________
Supporting record and date: _______________________________________________
Correction or explanation requested: ______________________________________
Insurer's response/date: __________________________________________________
Resolved, still disputed, or missing evidence: _____________________________

COMPARABLE VEHICLE RECORD (copy this block when needed)
Source or listing address: ________________________________________________
Date captured and seller location: ________________________________________
Year/make/model/trim: ______________________________________________________
Mileage and equipment: ____________________________________________________
Asking price (not verified sale price): ____________________________________
Differences from my vehicle: _______________________________________________
Question about the insurer's adjustment: __________________________________

SETTLEMENT BREAKDOWN — ASK FOR THE BASIS, DO NOT ASSUME ALL ITEMS APPLY
Vehicle value: ____________________________________________________________
Taxes/fees and stated basis: _______________________________________________
Deductible and stated basis: _______________________________________________
Salvage deduction if I retain the vehicle: _________________________________
Other addition/deduction and stated basis: _________________________________
Payment allocation or lienholder question: _________________________________

FOLLOW-UP
Review request sent on: ___________________________________________________
Records attached: _________________________________________________________
Response date confirmed by insurer: _______________________________________
Next action/remaining question: ___________________________________________

Leave unknown facts blank. Do not invent mileage, equipment, condition,
receipts, or sale prices. A repair bill is not automatically added dollar for
dollar to the vehicle's value. Policy terms and state rules affect the claim.

Explanation and sources:
https://turnyourclaim.com/how-to-negotiate-total-loss-settlement/
This worksheet does not ask you to upload records to TurnYourClaim.