Contents
Car Body Repair Form
Customer Information
Name:
Phone Number:
Email Address:
Vehicle Information
Make:
Model:
Year:
Color:
License Plate Number:
Damage Information
Describe the damage in detail:
Location of damage:
Photos of damage:
Repair Preferences
Desired repair date:
Preferred repair shop:
Insurance information:
Yes
No
If yes, provide the following information:
