Right to Appraisal Intake Form

Right to Appraisal Intake Form

Auto Damage Estimating, Umpiring
What service are you contacting Prime for?*
Please elaborate*
If you are looking for Diminished Value services, please fill out the form on our Diminished Value page.
Please click the link above to navigate to the appropriate form.

If you have any questions, please reach out to us at contact@prime-ri.com.
Click "Next".

Your Contact Details
Are you filling out this form on your own behalf or on behalf of a customer?*

MeCustomerOther
Your Name*

First NameLast Name
Name
Your Phone Number*
Your Email Address*

Assignment of Rights Form
The Assignment of Rights form is what allows Prime to act on behalf of an insured or claimant regarding damages to their vehicle. It must be completed for Prime to move forward after reviewing the intake information provided with this form.

If it has not been completed, please find the link below:

Assignment of Rights form

https://form.jotform.com/253315663736057
Has the Assignment of Rights form been completed?*

YesNo*
*As stated above, we will not be able to move forward with this case until the form has been completed and submitted to us. If you have any questions, please reach out to us at RTA@prime-ri.com.

If you are looking for Diminished Value services, please fill out the form on our Diminished Value page.