Initial insurance inspection was conducted without full vehicle access. Vehicle interior, drivability, and underside were not examined. This document is prepared to obtain a complete professional repair estimate.
Parts & Labor – Summary Line Items
Line
Area / Assembly
Operation
Part Description
OEM
Aftermarket
Repair
Replace
Qty
Unit Price
Labor Hrs
Total
1
Front bumper
R&R
Front bumper cover
0.00
2
LF bumper corner
R&R
LF bumper bracket / absorber
0.00
3
LF fender
R&R
LF fender skin
0.00
4
0.00
5
0.00
Grand Total
Estimated Repair Total (Parts + Labor): $0.00
Page 1 – Work Order
Collision Repair Information – Narrative
Owner Narrative of Loss
Provide a brief description of what happened, direction of travel, speeds, road conditions, and how the impact occurred. Include any secondary impacts or spin, and note if the vehicle struck or was struck by another object (vehicle, barrier, debris, etc.).
Primary Damage – Left Front (Code 11)
Describe all obvious damage at the left-front area, including bumper cover, grille, lamps, fender, hood, and any visible structural or cooling-system concerns. Note any tire/wheel contact, alignment pull, or steering vibration.
Secondary / Hidden Damage Concerns
Note any impact that may have affected suspension, steering, subframe, cooling stack (radiator, condenser, intercoolers), sensors, wiring, ADAS systems, or underbody shields. Include noises, smells, warning lights, or fluid leaks observed after the loss.
Driveability / Safety Notes
Summarize whether the vehicle was driven after the loss, any abnormal behavior (pulling, vibration, noises), and any concerns about safety, structural integrity, or airbag system status.
Page 2 – Narrative & Damage Description
Parts & Labor Planning – Front / Left-Front
Use this page for detailed line items related to front and left‑front damage: bumper, grille, lamps, hood, fender, radiator support, cooling stack, and front undercovers.
#
Area
Assembly
Operation
Part Description
OEM
Aftermarket
Qty
Unit Price
Labor Hrs
Total
1
Front
Bumper cover
R&R
Front bumper cover
0.00
2
Front
Bumper reinforcement
R&R
Bumper reinforcement / impact bar
0.00
3
Front
Center grille
R&R
Center grille assembly
0.00
4
LF
Fog lamp area
R&R
LF fog lamp assembly
0.00
5
LF
Fog lamp bezel
R&R
LF fog lamp bezel / trim
0.00
6
Front
Parking sensors
R&I / repair
Sensor bezels / wiring repair
0.00
7
LF
Fender
R&R
LF fender skin
0.00
8
LF
Fender liner
R&R
LF fender liner
0.00
9
LF
Headlamp
R&R
LF headlamp assembly
0.00
10
Front
Hood
R&R
Hood skin / hinges / latch
Collision Repair Information – 2013 Audi Q7
Collision Repair Work Order – 2013 Audi Q7
Owner Information
Name
Address
Phone
Email
Preferred Contact
Best time to reach:
Vehicle Identification
Year / Make / Model
Engine
Drivetrain
Transmission
Exterior Color
Interior Color
VIN
License / State
Odometer at Inspection
Production Date
Insurance Claim Information
Insurance Company
Claim Type
Claim Number
Adjuster Name
Adjuster Phone
Appraiser
Appraiser Phone
Special Notes from Insurer
Call when sending supplements. Prior payment approval needed for any parts changes or supplemental damages.
Initial insurance inspection was conducted without full vehicle access. Vehicle interior, drivability, and underside were not examined. This document is prepared to obtain a complete professional repair estimate.
Parts & Labor – Summary Line Items
Line
Area / Assembly
Operation
Part Description
OEM
Aftermarket
Repair
Replace
Qty
Unit Price
Labor Hrs
Total
1
Front bumper
R&R
Front bumper cover
0.00
2
LF bumper corner
R&R
LF bumper bracket / absorber
0.00
3
LF fender
R&R
LF fender skin
0.00
4
0.00
5
0.00
Grand Total
Estimated Repair Total (Parts + Labor): $0.00
Page 1 – Work Order
Collision Repair Information – Narrative
Owner Narrative of Loss
Provide a brief description of what happened, direction of travel, speeds, road conditions, and how the impact occurred. Include any secondary impacts or spin, and note if the vehicle struck or was struck by another object (vehicle, barrier, debris, etc.).
Primary Damage – Left Front (Code 11)
Describe all obvious damage at the left-front area, including bumper cover, grille, lamps, fender, hood, and any visible structural or cooling-system concerns. Note any tire/wheel contact, alignment pull, or steering vibration.
Secondary / Hidden Damage Concerns
Note any impact that may have affected suspension, steering, subframe, cooling stack (radiator, condenser, intercoolers), sensors, wiring, ADAS systems, or underbody shields. Include noises, smells, warning lights, or fluid leaks observed after the loss.
Driveability / Safety Notes
Summarize whether the vehicle was driven after the loss, any abnormal behavior (pulling, vibration, noises), and any concerns about safety, structural integrity, or airbag system status.
Page 2 – Narrative & Damage Description
Parts & Labor Planning – Front / Left-Front
Use this page for detailed line items related to front and left‑front damage: bumper, grille, lamps, hood, fender, radiator support, cooling stack, and front undercovers.
#
Area
Assembly
Operation
Part Description
OEM
Aftermarket
Qty
Unit Price
Labor Hrs
Total
1
Front
Bumper cover
R&R
Front bumper cover
0.00
2
Front
Bumper reinforcement
R&R
Bumper reinforcement / impact bar
0.00
3
Front
Center grille
R&R
Center grille assembly
0.00
4
LF
Fog lamp area
R&R
LF fog lamp assembly
0.00
5
LF
Fog lamp bezel
R&R
LF fog lamp bezel / trim
0.00
6
Front
Parking sensors
R&I / repair
Sensor bezels / wiring repair
0.00
7
LF
Fender
R&R
LF fender skin
0.00
8
LF
Fender liner
R&R
LF fender liner
0.00
9
LF
Headlamp
R&R
LF headlamp assembly
0.00
10
Front
Hood
R&R
Hood skin / hinges / latch
0.00
11
Front
Radiator support
R&R
Upper radiator / core support
0.00
12
Front
Cooling stack
R&R
Radiator / condenser / intercooler
0.00
Page 3 – Detailed Front / LF Items
Paint, Refinish & Calibration
Refinish Operations
Operation
Panel / Area
Labor Hrs
Notes
Refinish
Refinish
Blend
Refinish
Color / tint
Masking
Calibration & Alignment
Procedure
Sublet
Labor / Fee
Notes
ADAS camera calibration
Yes
Headlamp aiming
Yes
Four-wheel alignment
Yes
Other calibration / programming
Yes
Estimate Summary
Estimated Parts Total
Estimated Labor Hours – Body
Estimated Labor Hours – Refinish
Mechanical / Frame / Alignment
Sublet (calibration, glass, etc.)
Paint Materials
Misc. Fees (hazard, storage, etc.)
Sales Tax Rate
Estimated Tax
Estimated Grand Total
Target Completion Date
Page 4 – Refinish, Calibration & Summary
Customer Copy – Collision Repair Work Order
This page is identical in information content to the original work order and is intended for the vehicle owner to retain. The shop may print and complete this page as a handout.
Key Vehicle & Claim Information
Owner
Thomas Coates
Vehicle
2013 Audi Q7 S Line Prestige Quattro
VIN
WA1DGAFE3DD000122
Claim Number
928360GQ1
Insurance Company
Nationwide Mutual Insurance Company
Date of Loss
01/24/2026 at 04:07 PM
Primary Impact
Left Front (Code 11)
Repair Summary (Shop to Complete)
Summarize major replaced parts, structural repairs (if any), refinish areas, and calibration / alignment procedures performed.
Signatures
Owner Authorization
Date
Shop Representative
Date
Page 5 – Customer Copy
Shop Copy – Collision Repair Work Order
This page is retained by the repair facility for internal records. It may be completed by hand or electronically and filed with supporting photos and insurance documents.
Internal Shop Notes
Use this area for internal admin notes, parts ordering status, supplement requests, insurer approvals, and QC checks.
Page 6 – Shop Copy
Collision Repair Work Order – 2013 Audi Q7
Collision Repair Work Order
Owner Information
Name
Thomas Coates
Address
3416 Warren Place Apt 201 – Virginia Beach VA
Phone
757-374-3539
Email
tdcoates@gmail.com
Vehicle Information
Vehicle
2013 Audi Q7 Prestige Quattro
VIN
WA1DGAFE3DD000122
Color
Gray
Mileage
106,691
Insurance Information
Insurance
Nationwide Mutual Insurance
Claim
928360-GQ-1
Adjuster
Elsie Richmond-White
Collision Diagram
Owner Notes
Initial insurance inspection was conducted without full vehicle access.
Vehicle interior, drivability, and underside were not examined, and the vehicle
was positioned tightly between other vehicles which limited visual inspection.
This document is prepared to obtain a complete professional repair estimate.
Parts & Repair Estimate
Part
OEM Part #
Repair
Replace
Qty
Unit $
Labor $
Total
Rear Bumper Cover (RR)
4L0-807-511
0.00
Right Tail Lamp Assembly
4L0-945-096
0.00
Backup Lamp Housing
4L0-945-071
0.00
Right Quarter Panel
4L0-809-606
0.00
Left Front Door Panel
4L0-831-051
0.00
Grand Total
$ 0.00
Customer Copy
This page is identical to the original work order and intended
for the vehicle owner.
Shop Copy
This page is retained by the repair facility for internal records.