About Us
Our History
Our Story
Why Choose Us
Our Process
Our Facility
Services
Collision Repair
Windshield Repair
MPI Claims
Direct Repair
Rental Cars
Hail Repair
Contact Us
Make MPI Claim
Book an Estimate
Book an Estimate
Book an Estimate
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*
" indicates required fields
Step
1
of
5
20%
Name
*
First
Last
Phone
*
Preferred Contact Method
*
Call
Text
Either
Address
*
Street Address
City
ZIP / Postal Code
Vehicle Year, Make & Model
*
Claim(s) Number
*
Type of Claim
*
Direct Repair (-99)
MPI Estimate Complete (-01)
Photo Based Estimate Complete (-01)
License Plate Number
*
Approximate Mileage
*
Please provide a description of the damage
*
How did the damage happen? Please write a brief description including information such as wildlife, collision, vandalism, hail, theft, etc.
*
What area, and parts of your vehicle are damaged?
Are there any other claims on the vehicle that you are aware of?
*
Yes
No
Describe other claim details
*
Is your vehicle driveable?
Yes
No
Do you need something to drive while this vehicle is getting repaired?
Yes
No
Do you have Loss of Use Insurance for a rental vehicle?
Yes
No
Vehicle registered to a company?
Yes
No
What is your company name?
*
Any unrelated previous damage?
Yes
No
Does your vehicle have rust?
Yes
No
If so please attach pictures of the rust
Max. file size: 64 MB.
Describe damage & location
Photo(s) of damage
Drop files here or
Select files
Accepted file types: jpg, jpeg, heic, png, Max. file size: 32 MB.
Any Aftermarket Parts or Decals?
Yes
No
What parts? Who installed your decals?
Any Parts missing from the incident?
Yes
No
What parts?
Is your windshield chipped or cracked?
*
Yes
No
Fill out the Glass Claim Form
Do you have Additional Gap Insurance? ie SMI, or SRE?
Yes
No
What is your policy #? Where did you purchase your extra insurance?
Is there anything else you'd like estimated at the same time as this claim?
How did you hear about Loewen Body Shop?
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