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Get Allstate Porsche Roadside Assistance Vehicle Damage Form

PORSCHE ROADSIDE ASSISTANCE VEHICLE DAMAGE FORM This form is for your protection from potential damage claims. Complete this form for each roadside event. Customer Name VIN WP Vehicle Pick-Up Date Pick-Up Time Vehicle Drop-Off Date Drop-Off Time am/pm Dealership Name Walk-Around Performed By Date / All forms must be available upon request by Allstate Roadside Services for a period of 90 days after dispatch is completed. Model Boxster 911 Carrera Carrera GT Cayenne Cayman Panamera Boxster/Boxster S 911 Carrera All Models Cayenne All Models Cayman/Cayman S Pre-Existing Vehicle Damage Noted Vehicle Modifications Noted i.e. non-OE tires suspension lowering chromed rims etc. Customer Signature X Left Side Right Side Top Bottom Front Rear AUT0901228A Mark damage location s on diagram with an X. PORSCHE ROADSIDE ASSISTANCE VEHICLE DAMAGE FORM This form is for your protection from potential damage claims. Complete this form for each roadside event. Customer Name VIN WP Vehicle Pick-Up Date Pick-Up Time Vehicle Drop-Off Date Drop-Off Time am/pm Dealership Name Walk-Around Performed By Date / All forms must be available upon request by Allstate Roadside Services for a period of 90 days after dispatch is completed* Model Boxster 911 Carrera Carrera GT Cayenne Cayman Panamera Boxster/Boxster S 911 Carrera All Models Cayenne All Models Cayman/Cayman S Pre-Existing Vehicle Damage Noted Vehicle Modifications Noted i*e* non-OE tires suspension lowering chromed rims etc* Customer Signature X Left Side Right Side Top Bottom Front Rear AUT0901228A Mark damage location s on diagram with an X. .

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