Salvage Listing Form
Please Fill Out ALL Applicable Information.
Adjuster's Contact Info:
Adjuster's Name
*
First Name
Last Name
Adjuster's E-mail Address
*
Adjuster's Phone Number
*
-
Area Code
Phone Number
Independent Firm (if applicable)
File Number (if different from claim number)
Insurance Co Claim Number
*
Insurance Company
*
Insurance Company Mailing Address
*
Item Description and Location:
Item to be Listed
*
ACV of Item Posted
Year/Make/Model
Serial Number
Odometer/Hours
Options and Features that will facilitate the sale of the item
*
Damage Description in as much detail as possible
*
Omissions and/or additions to the salvage that may or may not be seen in the photographs posted
*
A lien check must be conducted for all equipment and vehicles. Do you wish us to conduct a lien check on your behalf. (charge of $20) If no, please provide a copy by attaching it below.
*
Yes
No
Location of Salvage Item
*
Insured
Dealership
Restoration Company
Other
Name, email, and phone number of insured.
*
Location Details: Name of business (if applicable), and location address. Please provide contact name, email, and phone number if separate from insured.
*
Is the salvage item accruing storage charges at this time?
*
Yes
No
Once sale is finalized do you want Barga.ca to pay the storage charges on your behalf
*
Yes
No
Bid Requirements
*PLEASE NOTE: Barga.ca does not recommend choosing reserves. Our experience shows that results are better if bidding is unreserved. If no reserve bid is chosen, you are authorizing Barga Insurance Salvage to sell to the highest bidder.
Reserve Bid
*
Yes (enter reserve below)
No
Amount of Reserve Bid
Additional Comments
Upload salvage photos
Upload a File
Cancel
of
Upload damage repair estimate and any other pertinent documents such as: Lien Check, Valuation Report, Authenticity Certificate etc.
Upload a File
Cancel
of
Submit
Print Form
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