Claims & Readiness Center
Commercial Service Contract Claim Checklist
Direct answer: Use this worksheet to organize the information your fleet and administrator may need after a breakdown. It creates a print-friendly summary, not a claim or a readiness certificate. No email or submission is needed.
Keep diagnosis permission separate from repair approval. Blank, pending, unavailable, and declined entries remain visible. The actual contract and administrator—not this checklist—determine the required process and any coverage.
Read the claims process guide →Build your handoff sheet
Everything is optional. Blank fields remain explicitly incomplete. Select “not applicable” only where you have confirmed that fact; never use it to stand in for an unknown.
Entries stay in this page’s memory. This tool does not upload, send, or automatically save them to browser storage. Reloading or leaving can discard them; browser restoration behavior may vary. A printed or saved PDF is your responsibility to protect. Avoid driver personal information, payment details, or other sensitive data.
Commercial Vehicle Protection · Personal worksheet
Claim-preparation summary
Not a claim submission, coverage decision, repair authorization, or vehicle safety clearance. All entries are user-recorded and unverified. This site does not receive or adjudicate claims. Follow your actual administrator’s instructions.
38 of 38 fields not entered. Completing fields never establishes approval or readiness.
Choose your browser’s Save as PDF destination if available. Inspect the preview and protect the saved file; there is no email gate.
1. Vehicle and application
- Fleet unit number
- Not entered — incomplete
- Year, make, model and vehicle class
- Not entered — incomplete
- VIN
- Not entered — incomplete
- Odometer miles
- Not entered — incomplete
- Engine / PTO hours (if relevant)
- Not entered — incomplete
- Actual application, load, towing and upfits
- Not entered — incomplete
- Symptoms and incident timeline
- Not entered — incomplete
2. Contract and administrator
- Contract number and plan / endorsement
- Not entered — incomplete
- Administrator name and official claims contact
- Not entered — incomplete
- Claim or incident reference
- Not entered — incomplete
- Effective date, end date, mileage and other term limits
- Not entered — incomplete
- Administrator instructions and contact date
- Not entered — incomplete
3. Repair facility and diagnosis
- Repair facility name
- Not entered — incomplete
- Facility business contact and location
- Not entered — incomplete
- Facility qualification / contract requirements
- Not entered — incomplete
- Diagnosis / teardown authorization status
- Not entered — incomplete
- Diagnosis reference, authorizing party, date and exact scope
- Not entered — incomplete
- Who pays diagnosis, teardown, reassembly and storage if declined?
- Not entered — incomplete
4. Documents and repair authorization
- Contract and endorsements
- Not entered — incomplete
- Maintenance invoices and unit / mileage / hour evidence
- Not entered — incomplete
- Written diagnosis and itemized estimate
- Not entered — incomplete
- Approval to repair — separate from diagnosis
- Not entered — incomplete
- Repair approval reference, authorizing party, date, scope and amount
- Not entered — incomplete
- Additional work and supplemental approval status
- Not entered — incomplete
- Decision, outstanding questions and next action
- Not entered — incomplete
5. Deductible, limits and invoices
- Deductible amount and basis (per visit, repair, etc.)
- Not entered — incomplete
- Applicable labor, component, claim, aggregate or vehicle-value limits
- Not entered — incomplete
- Unresolved or fleet-paid charges
- Not entered — incomplete
- Final itemized invoice / payment evidence
- Not entered — incomplete
- Invoice submission deadline from your contract / instructions
- Not entered — incomplete
- Invoice recipient, payee and submission confirmation
- Not entered — incomplete
6. Operational downtime
- Out-of-service date
- Not entered — incomplete
- Return-to-service date (leave blank if unknown)
- Not entered — incomplete
- Substitute vehicle billed days
- Not entered — incomplete
- Substitute vehicle cost per billed day (USD)
- Not entered — incomplete
- Other substitute vehicle charges (USD)
- Not entered — incomplete
- Substitute vehicle benefit: separate approval, terms and receipts
- Not entered — incomplete
- Dispatch changes, safe return-to-service confirmation and follow-up
- Not entered — incomplete
Operational calculations — not coverage projections
Incomplete: both dates are needed; no return date is assumed.
Substitute vehicle cost: Not calculated
Incomplete: enter billed days, daily cost and other charges, including zero when appropriate.
No repair cost, lost revenue, insurance recovery, warranty benefit, financial return, or contract payment is predicted.
Worksheet source: https://commercialservicecontracts.com/tools/commercial-service-contract-claim-checklist · Guidance published August 30, 2026. Retain original documents in your own secure system.
What this tool can and cannot do
It can collect your notes and calculate an operational substitute-vehicle estimate using the figures you enter. It cannot verify a VIN, establish eligibility, contact an administrator, dispatch assistance, upload records, authorize work, or predict reimbursement. For immediate danger, use appropriate emergency services. For roadside help, use your own provider’s instructions.
Optional, separate next step
Assess protection for your fleet.
This is a fleet-protection inquiry, not claims intake. The form sends only the information you enter in it through our existing Elite OS lead process. Worksheet entries above are not copied or submitted. Do not put claim documents or sensitive information in the form.