Assignment Sheet (Download manual form)

Rite-Way Appraisals Inc.
Quality Inependent Appraisals
185 King George Road, PO Box #24054
Brantford, ON N3R 7X3

Insurance Co: Your File #:
Adjuster: Phone #: Fax #:
Address: Postal Code:
City: Coll.: Comp.: Unknown:
Date of Loss: Deductible: 43R: Yes No Insured pays GST: Yes No

Insured: Phone #: Bus. #:
Address: City: Postal Code:
Year: Make: Model:
License #: Vin:
Area of Damage:

Shop: Location:
Address: Vehicle at Shop: Yes No