copy of file a claimadmin2022-09-13T00:28:59+00:00 Step 1 of 4 25% Your Vehicle InfoYear(Required) Make(Required) Model(Required) Is this claim for Glass Damage only(Required) Yes No Is your Vehicle Drivable(Required) Yes No Address(Required) Street Address City State / Province ZIP / Postal Code Was anyone Injured(Required) Yes No When did this happen MM slash DD slash YYYY Is there a specific glass repair company you want to use(Required) Yes No Did you provide the glass company with your policy info to start the claim(Required) Yes No What's the name of the glass company you chose What's thier phone numberWhen did this happen MM slash DD slash YYYY Tell us briefly what happenedTell us briefly what happened. Include the other driver's info if you have itAttach a copy or photo of police report & damages if you have them Drop files here or Select files Accepted file types: jpg, png, pdf, Max. file size: 10 MB.
