Instructions

• Estimate Amendment forms are fillable PDFs and must be completed on a computer, then submitted by fax with the appropriate cover sheet.
• Price-only changes to an approved estimate must be sent directly to Claims Audit Unit when submitting for payment.
• Requested items must be supported with pictures and/or documentation.
• Before faxing the form, confirm that the fax cover sheet and supporting documents are in the correct order to ensure that they are processed correctly. Documents out of order can create delays in the supplement approval process.

Estimate Amendment - All Other Registration Types

View Form

Repair shops that use Mitchell Connect use this form for post-payment supplements.

Repair shops that do not use Mitchell Connect use this form to request amendments to the original estimate as well as for the final repair account submission, listing all changes made to the estimate over the course of the repair.

Key Areas

Area	Description
Claim, vehicle, and repair shop information	The repair shop completes all fields at the top of the form. A Shop Reference Number is optional and provided to accommodate repair shops with internal reference systems.
Image file sent: Yes/No	The repair shop must indicate whether damage images have been sent to accompany the amendment form.
Request table	The repair shop enters their requests in the table in the middle of the form. If the repair shop is using the form as a final repair account cover sheet, they will list all changes approved over the course of repair.
C77#, Date, Approved, By Fax/Phone/Roadcall	The estimator completes these fields while reviewing the amendment.
Supp. Aftermarket Cancellation #	If required for parts approved on the supplement, the repair shop enters an aftermarket cancellation number in this field.
Totals table	The repair shop may provide subtotals for parts, labour, material, hazardous waste disposal, and tax before providing a gross total for all requests on the form. All marginal repair estimates and contract repairs require the Totals table. If the repair shop is using the form as a final repair account cover sheet, they may use this table to provide totals of all changes made to the estimate over the course of the repair.
For Repair Firm Use Only	The repair shop enters the amount of betterment, tax, and deductible that the customer is responsible to pay to the shop. These fields may be left blank until the final repair account.
Customer Response	The total amount the customer must pay to the repair shop, determined by adding depreciation, tax, and deductible amounts.

Examples

1. A repair shop finds additional damage after completing the initial repairs on a light vehicle claim. The repair shop completes the Estimate Amendment - Light Vehicle for the additional damage. The fax cover sheet, completed amendment, and all supporting documentation is sent to MPI for review.
2. A repair shop has begun the supplement process for their customer’s off-road vehicle. The original MPI estimate had several $1.00 items, so the shop obtained all part prices and labour operations for the original estimate as well as the additional damage they found. The shop adds all the required information to the Estimate Amendment - All Other Registration Types and submits it with a cover sheet, photos, and supporting documentation to MPI for review.