Become a Dealer

Name(Required)

First Name Last Name

Dealership Name

Email(Required)

Phone(Required)

What are you most interested in?

Roadside Services

Service Contracts

GAP

Efficiency, customer satisfaction, profitability

Other

Message(Required)

To File a Claim In order to file a claim, you must do the following:

Complete the form above.
In the SUPPORTING DOCUMENTATION section at the bottom, include:
1. Invoice(s)/Repair Order for performed service(s) being submitted for reimbursement (with valid VIN # of covered unit).
2. Include pictures of the roadside service being provided or the repair being performed.
3. Proof of payment: credit card receipt or front and back copies of a check or cash receipt from service provider.