CPI Repo Claim Form

CPI Repossession Claim Form

These forms are for vehicle claims only. If you need to submit a real estate claim please call us at 405-755-4571 or 800-725-8596.

Borrower Name*Bank or Credit Union*BranchContact Phone Number*Alt Phone NumberEmail Address*Vehicle*VINCurrent Location of Vehicle Date of Repossession*Next Payment Due Date*Current Loan Balance (Payoff)Date of Accident (if known)Type of DamageWas a police report filed?

If so, please attach a copy of the police report below.

YesNoCase Number / Law Enforcement AgencyAdditional CommentsRequired Documentation*

Copy of the note
Copy of the lien entry
Payment history
Copy of the repossession affidavit
Repossession expense invoices (if applicable)

Upload Files

Max file size: 100 MB
Select the Choose files button to attach files to your submission or claim.

Thank you! Your submission has been received!

Oops! Something went wrong while submitting the form.

File a Claim

CPI Repossession Claim Form