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St.Claude Autobody Glass Claim Form

St.Claude Autobody Glass Claim Form

By filling out this form, you are not actually making a claim with MPI - You are only getting the process started. We will contact you once we have this information to start the claim.   St.Claude Autobody does not share your information with anybody. You can be sure that your information is safe with us. 
31Questions
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  • 7
    Please note the drivers license number and fill it in on the next screen
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  • 9
    Please Select
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  • 10
    Is the vehicle registered to a business or for farm use?
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  • 11
    If not, just leave blank
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  • 12
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  • 13
    Ex: Ford, Chevrolet, Dodge, Toyota, Honda
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  • 14
    Ex: F-150, Camry, Focus, Impala
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  • 15
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  • 17
    Closest City or Town
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  • 18
    -
    Pick a Date
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  • 19
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  • 20
    Which window in the vehicle is damaged?
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  • 21
    Leave blank if not applicable
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  • 22
    Please describe the incident that caused the damage.
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  • 23
    *Optional
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    Max. file size: 10.6MB
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  • 31
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