Assignment Form | First Choice Recovery

Please complete the Vehicle Damages Complaint Form with all necessary information.

First Name

Last Name

Email

Phone

Vehicle VIN Number

Vehicle Make

Year

Model

Mileage

Statement of facts

Provide a detailed description of the damages

Description of vehicle's condition before it was repossessed

Description of the vehicle's after redeemed

Last time vehicle was serviced

How often the vehicle is serviced

Tires approximate tread before was repossessed all 4

Tire pressure driver front

Tire pressure passenger front

Tire pressure driver rear

Tire pressure passenger rear

Has the vehicle ever been involved in an accident?

Yes

No

Does the vehicle have any aftermarket modification?

Yes

No

When was the last time the vehicle was aligned?

Does the battery have corrosion?

Yes

No

Oil Level

Coolant Level

Brake Fluid Level

Upload supporting documents

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I hereby declare that the above made statements are true to the best of my knowledge.