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What Type of Damage do You Have?
*
Hail Damage
Door Ding
Minor Collision
Select The Method of Payment
*
Cash Job
Insurance Job
What is the Year Make and Model of Your Vehicle
*
Year
Make
Model
Color
Upload At Least 6 Photos of the Vehicle
Drop files here or
Select files
Max. file size: 64 MB, Max. files: 10.
Have You Filed a Claim with Your Insurance?
*
Yes
No
Would You like us to file a claim for You?
*
Yes
No
Select Your Insurance Carrier
*
Please select an option
Alfa Mutual Group
Allstate Corp.
American Access Casualty Co.
American Family Insurance Group
American National
Ameriprise Financial
Amica
Auto Club Exchange (AAA Insurance)
Auto Club Insurance Association
Auto-Owners Insurance
COUNTRY Financial
CSAA Insurance Exchange
Chubb
Consumers County Mutual Insurance Co.
Erie Insurance
Farm Bureau Financial Services
Farmers Insurance Group
Grange Insurance
Home State Insurance Group
Horace Mann
Kemper
Kentucky Farm Bureau
Liberty Mutual
Loya Insurance
Markel
Mercury Insurance
MetLife
Michigan Farm Bureau
NJ Insurance
National General Holdings Corp
Nationwide
North Carolina Farm Bureau Insurance
Plymouth Rock Co.
Plymouth Rock of New Jersey
Progressive
Safety Insurance
Sentry
Shelter Insurance
Southern Farm Bureau Casualty
State Auto
State Farm
Tennessee Farmers Insurance Cos.
Texas Farm Bureau Insurance
The Cincinnati Insurance Cos.
The Hanover Insurance Group
The Hartford
Travelers
USAA
Wawanesa General Insurance Co.
Other
Add Your Own Company
*
Once you've selected your Insurance Carrier above, please call the number below to file a claim using your policy number.
Claim #
*
Policy #
*
Please provide the date of the accident
*
MM slash DD slash YYYY
Select Make and Model of Your Vehicle
*
Year
Make
Model
Color
What Side of The Vehicle is Damaged
*
Right
Top
Left
What Panel is Damaged? (Right)
Qtr Panel
Rear Door
Front Door
Fender
What Panel is Damaged? (Left)
Fender
Front Door
Rear Door
Qtr Panel
What Panel is Damaged? (Top)
*
Hood
Roof
Right Roof Rail
Left Roof Rail
Deck Lid/Lift Gate
Select Your Vehicle Model and Show the Damage (Door Ding)
What is the Year Make and Model of Your Vehicle
*
Year
Make
Model
Color
Upload At Least 3 Photos of the Damaged Area(s)
Drop files here or
Select files
Max. file size: 64 MB, Max. files: 10.
Select Your Vehicle Model and Show the Damage (Minor Collision)
What is the Year Make and Model of Your Vehicle
*
Year
Make
Model
Color
Upload At Least 3 Photos of the Damaged Area(s)
Drop files here or
Select files
Max. file size: 64 MB, Max. files: 10.
Schedule an Appointment
First Name
*
Last Name
*
Phone
*
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Email
*
What date works best for you?
*
MM slash DD slash YYYY
How do you prefer to be contacted by?
*
Please Choose
Phone Call
Text
Email
Make a Deposit
We require a deposit of $50 on cash jobs, which will count toward your final bill.
Cash Job Deposit
Price:
Credit Card
*
Card Details
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Address
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Pitstop Dent Repair
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