Information Needed to Complete a Successful Estimate
CUSTOMER INFORMATION
Customer Name  
Address  
City  
State  
Zip  
Phone Number  
Email Address  
VEHICLE INFORMATION
Make  
Model  
Color  
Color Code  
Miles  
License Plate Number  
State  
VIN# (17 Digets)                                  
INSURANCE INFORMATION
Yes or No  
Insurance Company  
Claim Number  
Claim Contact Name  
Phone Number of Claim Rep  
DAMAGE DESCRIPTION
PLEASE INCLUDE ALL NEEDED PHOTOS OF THE DAMAGE AREA
Point of Impact
Drivers Side (LEFT)
Passenger Side (RIGHT)
Front (FRT) or Rear (RR)
Left or Right Corner
LEFT SIDE RIGHT SIDE FRONT REAR FRT/RIGHT FRT/LEFT RR/RIGHT RR/LEFT