FORM DV-17C // STATUTORY CLAIM AUDIT
2026 USPAP & State Tort Valuation Standard
STATE TORT JURISDICTION: TEXAS CARRIER AUDIT: STATE FARM / 17C WORKSHEET

Post-Collision Diminished Value & “17c” Lowball Disputer

Even after a body shop repairs your vehicle, an accident history permanently reduces its dealer trade-in and resale value by 10% to 25%. Enter your repair figures below to compare the insurance company's artificial “17c” cap against what you are legally owed.

Section 01 // Jurisdiction & At-Fault Carrier

STATUTORY VERIFICATION

Section 02 // Vehicle Valuation & Repair Parameters

NADA / BLACK BOOK INPUTS
KBB / NADA clean retail
From final body shop invoice
Enter 0 if no offer made yet

Section 03 // Claim Details (Printed on Your PDF Demand Letter)

OPTIONAL • CAN EDIT LATER