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
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Book an Estimate
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*
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Name
*
First
Last
Phone
*
Preferred Contact Method
*
Call
Text
Either
Address
*
Street Address
City
ZIP / Postal Code
Vehicle Year, Make & Model
*
License Plate Number
*
Claim Number(s)
*
Is your vehicle driveable?
*
Yes
No
Do you have any safety concerns with your vehicle from the accident?
*
Yes
No
Please share the details of your safety concerns:
*
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?
*
Any Parts missing from the incident?
*
Yes
No
Please describe any missing parts or components:
*
Photo(s) of damage
*
Drop files here or
Select files
Max. file size: 64 MB.
Are there any other claims on the vehicle that you are aware of?
*
Yes
No
Claim Number(s)
*
Please provide the claim details:
*
Any unrelated previous damage on your vehicle?
*
Yes
No
Please describe the previous damage:
*
Would you like to get an estimate for this damage?
*
Yes
No
Is your windshield chipped or cracked?
*
Yes
No
Please click
this link
to open another browser to fill out the
Glass Claim Form
Does your vehicle have rust?
*
Yes
No
Please attach pictures of the rust
*
Drop files here or
Select files
Max. file size: 64 MB.
Do you have Loss of Use Insurance for a rental vehicle?
*
Yes
No
Will you need something to drive while this vehicle is getting repaired?
*
Yes
No
Is your vehicle registered to a company?
*
Yes
No
What percentage of GST do you claim back?
*
Any Aftermarket Parts or Decals?
*
Yes
No
Please describe the aftermarket parts or decals:
*
List any aftermarket parts, custom accessories, or decals here...
Do you have additional insurance outside of MPI? (ie: Sandbox/SMI, SRE)
*
Yes
No
Which insurance broker did you purchase your insurance through? What is your policy #?
*
How did you hear about Loewen Body Shop?