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COLLISION REPAIR INTAKE
Industry-style estimate packet

Collision Repair Estimate and Claim Compliance Report

Property damage repair presentation integrating owner information, insurer handling duties, repair estimate detail, supplements, and photographic documentation for a 2013 Audi Q7 claim.

Repair Order Control
RO / File: 928360-GQ-1
Workfile: ead0d0b8
Loss Date: 01/24/2026
Point of Impact: Left Front
Customer and Vehicle
OwnerThomas Coates
Address3416 Warren Pl Apt 201, Virginia Beach, VA 23452
Phone757-374-3539
Emailtdcoates@gmail.com
Vehicle2013 Audi Q7 S Line Prestige Quattro
VINWA1DGAFE3DD000122
ColorGray
Odometer106,691 miles
PlateSZJ 6407
VIN Visual Barcode
WA1DGAFE3DD000122
Visual barcode representation for packet presentation.
Insurance and Appraisal Information
CarrierNationwide Mutual Insurance Company
Claim TypeProperty Damage
Claim Number928360-GQ-1
AdjusterElsie Richmond-White
AppraiserElsie Retzel, License 28582
Appraiser Phone757-286-3368
Appraiser Emailretzele@nationwide.com
Mailing AddressNationwide Insurance MARO Claims, P.O. Box 182068, Columbus, OH 43218
NotesCall when sending supplements. Prior payment approval noted for parts changes or supplemental damages.
Executive Introduction and Repair Purpose
This report is intended to function as more than a simple body repair worksheet. It is designed as a professional collision repair intake and estimate packet that ties the physical damage assessment of the vehicle to the insurer’s legal duties in Virginia. The purpose of placing the claim-handling statutes at the front of the repair packet is to make clear that investigation, estimate review, communication, supplements, part approvals, payment timing, and settlement conduct are not discretionary administrative matters. They are governed by enforceable duties under Virginia law and insurance regulations.
In that respect, this packet is meant to look and read like a body-shop-ready estimate presentation while also preserving the context in which the estimate is being submitted. If an insurer delays acknowledgment, fails to reasonably investigate visible or supplement damage, does not communicate within the required time, refuses fair consideration of needed repairs, or conditions handling in a way inconsistent with claim standards, those actions directly affect the repair process. The owner should not be forced to separate the repair reality from the legal claim obligations that govern the estimate.
This front section therefore serves as a formal introduction to the estimate that follows. It identifies the owner, claim, vehicle, known loss details, and the principal Virginia authorities that require prompt investigation, fair communication, claim standards, and appropriate settlement handling. The sections that follow continue in a shop-style format so the estimate can be understood by a body repair facility, an appraiser, an insurer, or any later reviewer.
Collision Repair Estimate and Claim Compliance Report
Page 1 of 5
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LEGAL / CLAIM CONTROL
Virginia statutory overview

Virginia Claim-Handling Statutes Tied to Repair Processing

The following authorities govern claim acknowledgment, investigation, communications, settlement standards, disclosure obligations, and insurer conduct affecting repair approvals.

Reference Summary
Jurisdiction: Virginia
Packet Use: Estimate support
Repair Relevance: Direct
Status: Owner-submitted
Top Governing Duties Nationwide Must Satisfy
Authority What It Requires Repair / Estimate Connection Why It Matters Here
Va. Code § 38.2-510 Prohibits unfair claim settlement practices, including inadequate investigation, misrepresentation, and failure to attempt prompt and fair settlement when liability is reasonably clear. Estimate review, parts approval, supplements, delay tactics, and refusal to fairly evaluate visible damage all fall within claim-handling conduct. It frames the insurer’s overall obligation not to obstruct or distort the repair process through claim conduct.
14VAC5-400-50 Requires acknowledgment of pertinent communications within required time standards. Applies to repair inquiries, supplement requests, estimate correspondence, and submission follow-up. Silence or delayed acknowledgment can slow repairs and increase loss-related burden on the owner.
14VAC5-400-60 Requires prompt investigation of claims. Visible impact damage, hidden damage, teardown items, structural concerns, and calibration needs must be investigated in a timely manner. An insurer cannot reasonably control the estimate while failing to investigate what the estimate actually presents.
14VAC5-400-70 Sets claims settlement standards and requires fair and reasonable first-party offers based on investigation. Estimate valuation, parts pricing, labor allowances, and supplements should track the facts shown by the investigation. This ties settlement figures directly to claim facts rather than arbitrary reductions.
Va. Code § 8.01-417 Addresses copies of statements and disclosure of insurance policy limits in qualifying situations. Supports fair information flow during claim handling and helps prevent informational imbalance. Relevant where recorded information and claim support materials affect how the estimate is processed.
Va. Code § 38.2-2206 Governs uninsured and underinsured motorist coverage obligations. Important if other vehicle coverage issues affect property damage handling or payment path. Preserves the coverage framework if liability or available insurance becomes disputed.
Va. Code § 38.2-512 Authorizes enforcement and penalties for prohibited unfair claim practices. Creates accountability where claim conduct repeatedly interferes with proper repair handling. Demonstrates that regulatory consequences may follow improper estimate-related conduct.
Aetna v. Price, 206 Va. 749 Recognizes insurer good-faith obligations in claim handling and settlement posture. Supports the principle that repair and settlement decisions should not be handled in bad faith. Useful as a broader good-faith anchor where estimate conduct appears strategically unfair.
This repair packet is intentionally structured so that the legal duties appear at the front of the estimate record. That presentation reflects the reality that every supplement decision, every part approval, every communication delay, every inspection omission, and every payment issue directly affects whether the vehicle is repaired properly and on time.
Owner Statement for Packet Placement
What was wanted here was not merely a list of statutes standing alone. What was wanted was a real body-shop-style estimate packet with the top section functioning as a formal report, showing the core legal obligations the insurer must fulfill and then tying those duties directly into the repair estimate itself. In practical terms, that means the statutes are not being presented as decoration. They are part of the estimate presentation because they govern the way the estimate must be processed, reviewed, responded to, supplemented, and paid.
Source Authorities Confirmed
  • Virginia Code § 38.2-510, unfair claim settlement practices. Official Virginia Code source.
  • 14VAC5-400, including Sections 50, 60, and 70. Official Virginia Administrative Code source.
  • Virginia Code § 8.01-417, statements and certain insurance limit disclosure requirements. Official Virginia Code source.
  • Virginia Code § 38.2-2206, uninsured and underinsured motorist coverage. Official Virginia Code source.
  • Virginia Code § 38.2-512, enforcement consequences. Official Virginia Code source.
Virginia statutes verified from official Virginia Code and Administrative Code sources.
Page 2 of 5
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REPAIR ORDER INTAKE
Vehicle and damage intake

Vehicle, Loss, and Damage Intake Sheet

Formal intake section for repair authorization review, estimate preparation, supplement management, and claim coordination.

Vehicle Intake
Owner: Thomas Coates
Vehicle: 2013 Audi Q7
Loss Time: 4:07 PM
State: Virginia
Owner / Contact Information
NameThomas Coates
Address3416 Warren Pl Apt 201, Virginia Beach, VA 23452
Cell757-374-3539
Emailtdcoates@gmail.com
Preferred ContactEmail
Claim Submission PurposeRepair estimate support, supplement documentation, insurer review
Vehicle Identification
Year / Make / Model2013 Audi Q7 S Line Prestige Quattro
VINWA1DGAFE3DD000122
Engine3.0L Supercharged V6
DriveQuattro AWD
TransmissionAutomatic
Exterior ColorGray
Production Date07/2012
Claim and Loss Information
CarrierNationwide Mutual Insurance Company
Claim Number928360-GQ-1
Workfileead0d0b8
Date of Loss01/24/2026
Time of Loss4:07 PM
Primary Point of ImpactLeft Front
Adjuster / AppraiserElsie Richmond-White / Elsie Retzel
Damage Description
Preliminary intake reflects left-front collision impact with probable involvement of bumper cover area, reinforcement, left-front lamp assemblies, left-front fender area, hood edge or surface, front support components, alignment review, and likely paint / blend considerations. Hidden damage remains subject to teardown, supplement inspection, structural confirmation, and electronic or aiming recalibration if required by the final repair path.
Photo Documentation Areas
Photo Box 1
Paste a screenshot or copied image here. This box expands automatically when an image is pasted.
Photo Box 2
Ideal for left-front overall damage, bumper area, lamp damage, trim damage, or insurer estimate image.
Photo Box 3
Use for close-up damage or supporting document image.
Photo Box 4
Use for supplement support, parts reference image, or additional scene / vehicle view.
Vehicle intake and expandable image areas for paste-in photo support.
Page 3 of 5
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ESTIMATE DETAIL
Primary repair operations

Repair Estimate Detail and Operations

Line-numbered operations for body, parts, refinish, inspection, and supplement review.

Estimator View
Damage Zone: Left Front
Type: Collision
Basis: Preliminary
Supplements: Anticipated as needed
Primary Operations Table
Ln Op Description Type Qty Part Body Paint Amount Notes
1RFront bumper coverOEM13.02.0
2I/RBumper reinforcement / impact barOEM11.5
3RLeft bumper bracket / absorberOEM10.8
4RCenter grille assemblyOEM10.9
5RLower grille / fog lamp surroundOEM10.7
6RLeft fog lamp assemblyOEM10.8
7RLeft fog lamp bezel / trimOEM10.4
8I/RParking sensor and bezel reviewOEM10.6
9ISensor wiring / harness inspectionOEM10.6
10RLeft front fenderOEM12.52.0
11RLeft fender linerOEM10.8
12RLeft headlamp assemblyOEM11.2
13I/RHeadlamp mounting panel / bracketsOEM10.9
14RepHood repair and refinishOEM13.53.0
15I/RHood hinges and latchOEM10.9
16IUpper radiator support / core supportOEM11.0
17IRadiator inspectionOEM10.7
18ICondenser inspectionOEM10.7
19IAuxiliary cooling / intercooler reviewOEM10.8
20RFront under-shield / splash guardOEM10.6
21RefBlend left front doorRefinish11.5
22IStructural measurement / frame rail checkInspect11.2
23ISuspension and steering reviewInspect11.0
24SubFour-wheel alignmentSublet1
25SubADAS / aiming / calibration reviewSublet1
Estimate Notes
Amount fields are left open for final shop pricing, insurer review, OEM sourcing, or supplement adjustment. This packet is designed so a repair facility can complete pricing directly while preserving the structure of a professional estimate presentation. Hidden damage, teardown discoveries, support panel issues, bracket damage, mount breakage, sensor issues, calibration needs, and paint-material variances may require supplements.
Primary estimate operations table with line numbering and supplement-ready format.
Page 4 of 5
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TOTALS / SIGN-OFF
Final packet page

Estimate Totals, Supplemental Space, and Signatures

Final page for totals, supplement support images, owner certification, and repair / insurer processing reference.

Final Review
Tax Note: 4.15%
Status: Preliminary packet
Use: Shop and insurer review
SUPPLEMENT READY
Estimate Summary
Parts Total$
Body Labor$
Refinish Labor$
Mechanical / Structural / Alignment$
Sublet / Calibration$
Paint and Materials$
Miscellaneous Fees$
Sales Tax$
Estimated Grand Total$
Supplement Commentary
This packet anticipates the possibility of supplements after teardown or closer inspection. Any newly discovered damage involving structural supports, hidden mounting points, sensor systems, lamp tabs, condenser or cooling components, undertray damage, bracket damage, alignment issues, or calibration requirements should be documented and incorporated into a supplement without unnecessary delay.
Additional Image / Document Paste Areas
Supplement Box 1
Paste estimate screenshots, part diagrams, valuation pages, additional damage photos, or claim correspondence images here.
Supplement Box 2
This area also expands automatically when images are pasted.
Owner / Packet Preparer
Prepared by owner for estimate, claim handling, and repair review.
Thomas Coates Date
Repair Facility / Reviewer
For body shop, estimator, appraiser, or other reviewer sign-off.
Signature Date
Packet Certification Statement
This report is intended as a professional collision-repair-style estimate packet integrating owner, vehicle, insurer, and repair information with the principal Virginia claim-handling authorities that govern acknowledgment, investigation, communication, fair handling, and settlement-related conduct. It is designed for practical use by a repair facility, insurer representative, appraiser, or reviewing party. Pricing blanks may be completed by the shop or updated by supplement. Visual barcode included in this packet is for presentation and identification use within the report.
Prepared for claim, repair, supplement, and insurer-review presentation.
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