Salvage Vehicle Damage Evaluation Form
Inspection Date
Inspector Name
Owner Name
Contact Information
Vehicle Information
Make
Model
Year
VIN
Odometer Reading
License Plate
Damage Assessment
Exterior Damage
Interior Damage
Frame/Structural Damage
Engine/Mechanical Damage
Other Observations
Salvage Evaluation
Recommended Action
Repairable
Not Repairable
Parts Only
Estimated Repair Cost
Comments
Inspector Signature
Date