Premium Property Damage Intake

Selective Review for High-Value or Complex Vehicle Claims

A structured intake used to understand the scope of your property-damage claim and determine whether a premium engagement is appropriate.

Intake Sections:

1. Vehicle & Claim Overview

Basic claim details to understand the starting point.

2. Repair & Parts Issues

Any repair delays, OEM/aftermarket concerns, or shop-insurer friction.

3. Rental / Loss of Use

Issues with rental eligibility, duration, class, or reimbursement.

4. Storage & Towing

Outstanding charges or disagreements about payment.

5. Insurer Communication

Delays, unclear explanations, denials, or shifting responses.

6. Your Goals & Expectations

How involved you want to be and what type of support you’re looking for.

7. Acknowledgments

Clear boundaries so expectations stay aligned from the start.

Premium Property Damage Intake

  • Purpose of This Intake

    You’ve already shared the basic background of your situation. This intake is used to identify the specific property-damage issues that would fall within a potential premium, limited-scope engagement, and to ensure scope, boundaries, and pricing are aligned before any representation is offered.

    This review helps determine:

    • which property-damage disputes are currently active,

    • the nature and complexity of those disputes, and

    • whether a premium engagement is an appropriate fit.

    Completion of this intake:

    • does not create an attorney-client relationship,

    • does not guarantee representation, and

    • does not trigger any fees.

  • Having these items nearby will make the intake quick and accurate:

    • Vehicle details (year, make, model, trim)

    • Claim number and insurance carrier

    • Repair shop information

    • Any written insurer communications about repairs, rental, or charges

    • Rental or out-of-pocket receipts

    • Tow or storage paperwork (if applicable)

  • This Intake Is Helpful If:

    • Your vehicle is high-value or specialty,

    • Your claim involves multiple active disputes you’d like help navigating, and/or

    • You want a more structured, guided approach to insurer communication.

    This Intake May Not Be a Fit If:

    • Your matter involves bodily injury claims,

    • You are seeking litigation or coverage/bad-faith work,

    • You need immediate representation before a review.

Disclaimer & Scope Notice:

The information submitted through this form is used solely to evaluate scope, boundaries, and fit for a potential legal engagement. Submission of this form does not constitute legal advice, does not trigger any fees, and does not create an attorney-client relationship.
Completion of this intake does not guarantee representation. An attorney-client relationship is formed only through a written engagement agreement signed by both the client and the attorney after a substantive review of the relevant facts.
This form is not intended to address every possible legal issue that may arise from a particular incident. Legal advice regarding a specific matter can be provided only after an attorney-client relationship is formally established.