Insurance Claim Inspection Report
No.CL-2026-0714-007
1. General Information
| Inspection date | 7/14/2026 | Address | 150 Claim Street, Los Angeles, CA 90001 |
| Basis for inspection | Claim number CL-2026-0456 |
2. Object of Inspection
| Object type | not filled in | Object name | 2019 Mazda CX-5 Grand Touring |
| Technical condition | not filled in | Odometer Reading, mi | 54000 |
| Release date | 5/15/2019 | Start of operation | 6/1/2019 |
3. Main Parameters
| VIN | JM3KFBCL4K0123456 | Make | Mazda |
| Model | CX-5 Grand Touring | Year | 2019 |
| License Plate | CA 8901 | Odometer Reading | 54000 |
4. Inspection Conditions
5. Damage Assessment
| No. | Damage description | Photos |
|---|---|---|
| 1 | - 1 | not filled in |
| 2 | - 1 | not filled in |
6. Additional Information
| Identification was carried out | VIN and license plate verified against claim |
| There are remarks | Total estimated cost: $3,800.00. Claim recommended for approval. |
7. Inspection Participants
| No. | Full name | Position / status | Comment |
|---|---|---|---|
| 1 | Amanda Clark | Adjuster | Lead adjuster |
| 2 | Kevin Adams | Policyholder | Claimant |