Name
*
Email
*
Cell Phone
*
Please enter a valid phone number.
Text Messages for Repair Updates?
*
Yes
No
Street Address, City, State and Zip Code
*
Date of Accident/Damage
-
Month
-
Day
Year
Date
What happened to your vehicle?
Your Insurance Company
Deductible Amount
Insurance Claim #
Are You the Insured or Claimant?
Insured
Claimant
Original Repair Estimate $ from Your Insurance Company
Insurance Photo App Completed?
Vehicle Information: Year, Make, Model and Color
Mileage
Are you planning to get your repairs performed at Anderson's Autobody?
Please Select
Yes
No
Unsure
Are you shopping around for cost estimates?
Please Select
Yes
No
How are you planning to pay for services?
Self Payment (if paying with a credit or debit card a 3% processing fee will be added to customer pay portion)
Another Person (not myself)
Insurance Company
Not sure
Upload 3-4 photo of the damage
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Upload picture of your VIN Number on the driver's side dashboard (stand outside the vehicle and look at the corner where the dashboard meets the windshield)
Browse Files
Drag and drop files here
Choose a file
Cancel
of
How Did You Hear About Us?
Please Select
Returning Customer
Customer Referral
Insurance Company
Google Reviews
Yelp Reviews
Carwise Reviews
Nextdoor
Facebook
Instagram
Website
Other
Type your name and date below (we will ask for an ink signature at the shop)
I authorize Anderson's Autobody, Inc (TAX ID# 82-0488539, 31466 Highway 200, Ponderay, ID, 83852) to create an Initial Cost Estimate once I bring my vehicle in for inspection. I realize this will take 20-30 minutes with a professional collision appraiser or estimator. That Cost Estimate will be emailed to me within 24-72 hours. If we proceed, I authorize Anderson's Autobody to disassemble the vehicle listed above to create an Initial Repair Plan. This power of endorsement exists for payment on any check or drafts by the Insurance Company or the other paying entity listed above.
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