Consumer Collision Services, Inc.

Claim Evaluation

Our free Claim Evaluation will provide you the answers you need to make an informed decision. To get started, just complete the form below and click the submit tab. One of our appraisers / collision repair experts will contact you to discuss your claim.

Fields marked with ( * ) are required.

Vehicle Owner Information

First *

Last *

Phone 1*

Phone 2* (May be same)

Email Address *

Confirm Email Address *

State/Province/Region *

Postal Code * (44240 | 44240-5555 | T2P 3C7)

Vehicle Owner Information

Year of Vehicle

Make

Model

Submodel: (LT/STL/EX etc..)

Doors

Engine Type

Drive Train

Engine Cylindars

Seat Type

If your vehicle is a truck, please answer the following questions

Cab Type

Bed Size

Damage Information

Date of Loss

Cause of Damage

Mileage at the time of loss

Cost to Repair
$

Has the Vehicle Been Repaired?

Vehicle Condition

Any Prior Damage History?

If Yes:

Date of Prior Damage

Cost to Repair
$

If you have a copy of the repair estimate please fax to 678-432-5578 or email to dvcheck@earthlink.net.

Claim Information

Name of Atfault Insurance Company

Name of your Insurance Company

Was the accident your fault?

How much diminished value have you been offered?

How did you hear about us?