CertiMotive© Appraiser Scope Sheet

Date/Time

MonthDayYear
DateHourMinutesAM/PM Option
File #
IA Company or Other File #
Email - Gary Rowley
Appraiser First Name*
Appraiser Last Name*
Cell Phone Number*
E-mail*
Insurance Company
If Other Ins Co
Insurance*

InsuredClaimant
Claim #*
Vehicle Year*
Vehicle Make*
Vehicle Model*
VIN Scan
VIN*
VIN - Input Manually
Prod Date*
Vehicle Type
Transmission
Cylinders
If Truck

ShortbedLongbed1/2 ton3/4 ton1 tonUtilityCab & ChassisOther
Odometer (mileage)*
License Plate #
License Plate Exp Date
License Plate State
Interior Color

BlackTanWhiteBlueGreySilverOther
Interior Type
Exterior Color

BlackWhiteBlueGreySilverRedGreenBiegeOther
Damage Type
Power Options

PS POWER STEERINGPB POWER BRAKESPW POWER WINDOWSPL POWER LOCKSPM POWER MIRRORSPOWER ANTENNAPOWER DRIVER SEATPOWER PASS SEATPOWER TRUNK/GATE RELEASEPOWER ADJUSTABLE PEDALSPOWER SLIDING DOORDUAL POWER SLIDING DOORSOther
Convenience

AC AIR CONDITIONINGCLIMATE CONTROLDUAL AIR CONDTILT WHEELCRUISE CONTROLINTERMITTENT WIPERSCONSOLE/STORAGEOVERHEAD CONSOLEMEMORY PACKAGENAV SYSTEMENT CENTERDUAL ENT CENTERTELESCOPIC WHEELMESSAGE CENTERHOME LINKREAR DEFOGGERREMOTE STARTERWOOD INTERIOR TRIMKEYLESS ENTRYREAR POWER SUNSHADEOther
Seating

CLOTH SEATSBUCKET SEATSRECLINING/LOUNGE SEATSLEATHER SEATSHEATED SEATSREAR HEATED SEATSVENTILATED SEATS3RD ROW SEATPOWER 3RD SEATRETRACTABLE SEATS12 PASS SEATING15 PASS SEATINGCAPTAIN CHAIRS 2CAPTAIN CHAIRS 4CAPTAIN CHAIRS 6Other
Radio

AM RADIOFM RADIOSTEREOSEARCH/SEEKCDCASSSTEERING WHEEL TOUCH CONTROLSAUX AUDIO CONNECTIONPREMIUM RADIOCD CHANGER/STACKERSATELLITE RADIOEQUALIZEROther
Wheels

STYLED STEEL WHEELSFULL WHEEL COVERSCLAD WHEELSALUMINUM/ALLOY WHEELSCHROME WHEELSOR LARGER WHEELS20WIRE WHEELSWIRE WHEEL COVERSLOCKING WHEELSOther
Roof

ELEC GLASS ROOFELEC STEEL ROOFSKYVIEW ROOFDUAL PWR SUNROOFMAN STEEL ROOFMAN GLASS ROOFFLIP ROOFT-TOP/PANELPWR CONVERTIBLE ROOFDETACHABLE ROOFVINYL COVERED ROOFHARD TOPOther
Safety/Brakes

DRIVERS SIDE AIR BAGSPASSENGER AIR BAGSFRONT SIDE IMPACT AIR BAGSREAR SIDE IMPACT AIR BAGSHEAD/CURTAIN AIR BAGS4 WHL DISC BRAKESANTI LOCK BRAKES 4ANTI LOCK BRAKES 2TRACTION CONTROLSTABILITY CONTROLPOSITRACTIONCOMMUNICATIONS SYSTEMPARKING SENSORSBACKUP CAMERA W/SENSORSALARMHANDS FREE DEVICEXENON HEADLAMPSHEADS UP DISPLAYINTELLIGENT CRUISEBLIND SPOT DETECTIONLANE DEPARTURE WARNINGNIGHT VISIONROLL BAROther
Ext/Paint/Glass

DUAL MIRRORSHEATED MIRRORSBODY SIDE MLDGSTINTED GLASSAM FILM TINTPRIVACY GLASSREAR WINDOW WIPERFOG LAMPSLUGGAGE/ROOF RACKREAR SPOILERHEADLAMP WASHERSSIGNAL INTEGRATED MIRRORSWOOD GRAINCLEAR COAT PAINTMETALLIC PAINTTWO TONE PAINTTHREE STAGE PAINTOther
Other

REAR STEP BUMPERTRAILER HITCHTRAILERING PACKAGEREAR SLIDING WINDOWPOWER REAR WINDOWRUNNING BOARDS/SIDE STEPSXENON HEADLAMPSPWR RETRACTABLE RUNNING BOARDSBED LINERBED LINER (SPRAY ON)SOFT TONNEAU COVERHARD TONNEAU COVERDELUXE TRUCK CAPBED RAILSGRILLE GUARDTOOL BOX (PERM)DUAL REAR WHEELSAUX FUEL TANKCAL EMISSIONSSTONE GUARDWINCHOther
Engine Condition Rating
0=Rough 1=Fair 2=Clean 3=Extra Clean
Trans Cond Rating
0=Rough 1=Fair 2=Clean 3=Extra Clean
Paint Cond Rating
0=Rough 1=Fair 2=Clean 3=Extra Clean
Front Tires
0=Rough 1=Fair 2=Clean 3=Extra Clean
Rear Tires
0=Rough 1=Fair 2=Clean 3=Extra Clean
Body/Glass
0=Rough 1=Fair 2=Clean 3=Extra Clean
Interior
0=Rough 1=Fair 2=Clean 3=Extra Clean
CCC Eval #
Repair

0/5000
Replace

0/5000
Refinish

0/5000
Blend
Hold Down "ctrl" button to select multiple
R&I
Hold Down "ctrl" button to select multiple
Add
Hold Down "ctrl" button to select multiple
Notes

0/5000
Click YES to Verify All Info is Correct*

YES
Should be Empty: