Insured NameExtract the insured/policyholder name...
Policy NumberExtract the policy number...
Claim NumberExtract the claim number if assigned...
Date of LossExtract the date of loss/accident. Return in YYYY-...
Time of LossExtract the time of the accident...
Location of LossExtract the accident location/address...
Vehicle YearExtract the insured vehicle year...
Vehicle MakeExtract the insured vehicle make...
Vehicle ModelExtract the insured vehicle model...
VINExtract the Vehicle Identification Number...
Driver NameExtract the driver name at time of loss...
Description of AccidentExtract the description of how the accident occurr...
InjuriesWere there any injuries reported? Yes or No...
Police ReportWas a police report filed? Yes or No...
Other Vehicle InfoExtract other vehicle/party information if collisi...
Damage DescriptionExtract description of vehicle damage...
Estimated DamageExtract estimated damage amount if provided...