Submit a Claim

* indicates a required field

Type your body shop name and select from the drop down list of clients. If you are a new client, please fill out all fields below and submit.

Click here to submit a claim as an insurer, or click here to submit a wheel claim.

Body Shop Info

Body Shop Name
Address
City
Zip
Phone
RO # *
Estimator Name
Estimator Email *
Insurance Company *
Vehicle Information

Year
Make/Model
Vehicle VIN
What Services are Needed? *
Additional Comments

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