Get Customer Claim Form

Filing a customer claim can be a straightforward process when you have clear guidance. This guide provides step-by-step instructions for filling out the Customer Claim Form online, ensuring you can complete each section accurately.

Follow the steps to complete your Customer Claim Form effectively

1. Press the ‘Get Form’ button to access the Customer Claim Form and open it in your preferred online viewer.
2. Complete the customer name and address section. Ensure that you provide your first name, last name, street address, city, state, and zip code. Include your day and evening phone numbers as well as your email address for contact purposes.
3. In the vehicle information section, fill in the names as they appear on the vehicle title. Indicate if it is a leased vehicle and whether it was purchased used. Provide the make, model, and year of the vehicle along with the vehicle identification number and current mileage.
4. Detail the problems with your vehicle by listing them clearly. Attach legible copies of any repair orders or documents that support your claim. Include information about the dealers who have attempted repairs, along with the relevant dates, mileage, and repair order numbers.
5. Indicate if the vehicle has been in an accident and provide the date if applicable. Specify the damaged area if the vehicle has been involved in an incident.
6. Select your desired resolution from the options provided: repurchase, replacement, repair, or reimbursement.
7. Finally, sign and date the form. Ensure that all the information is complete and accurate before submission.
8. Save the changes made to the form. You can choose to download, print, or share the completed form as necessary.

Complete your Customer Claim Form online today for a smooth claims process.