Mobile Auto Solutions - Service Request Form

Service Email

Shop Contact - Who do we contact regarding the request?*

Please enter a shop email address below*

example@example.com

Phone Number*

Please enter a valid phone number.

Only insurers with active pricing agreements with MAS are listed, all other insurers default to the 'Retail' pricing option.

To look up if the insurance company for this request is a subsidiary of a company MAS has an agreement with CLICK HERE

Insurer*

Vehicle Year*

Vehicle Make*

Vehicle Model*

Vehicle VIN*

Shop RO #*

Current Vehicle Condition - Select All That Apply

4 Wheel Alignment Completed - All Primary Angles in Specification, steering wheel is straight, and vehicle does not pullFront Bumper is OnFront Bumper is Off & Ready to be InstalledRear Bumper is OnRear Bumper is Off & Ready to be installed

Please be sure to utilize the links below to help identify calibration prerequisites and calibration needs.

Calibration Requirements

ADAS Map

ALLDATA

Select the type of needed services *

ADAS Calibration - PLEASE SELECT THE SYSTEMS THAT YOU ARE REQUESTING CALIBRATION ON*

Blind Spot Radar (Rear)Front Corner Radar (Front Blind Spot Radar)Front Radar / Adaptive CruiseHonda Lane Watch Camera (in passenger side mirror)Lane Departure Camera (windshield)Park Assist Cameras / 360 CamerasPark Assist Sensors / Sonar

Enter any necessary additional details about the repair or request here:

Please attach any necessary photos below

Please confirm all entries to complete service request*

I confirm the vehicle is ready for serviceI confirm the vehicle is at the shopI understand and agree to the MAS scheduling and cancellation terms listed on this form**NEW** I confirm that I have selected the correct insurance company or parent company to a subsidiary

Please verify that you are human*

Mobile Auto Solutions - Service Request Form

NEW - Please Read - Insurance Note