McGrath Auto Accident Report

MCGRATH AUTOMOTIVE GROUP ACCIDENT REPORT
NAME OF PERSON COMPLETING THIS FORM*
Your Email For Form Submission Confirmation
example@example.com
DATE OF NOTICE

MonthDayYear
Date
DATE OF LOSS*

MonthDayYear
Date
POLICE NOTIFIED
STOCK*
VIN*
YEAR*
MAKE*
MODEL*
Describe Accident or Loss*
Describe Damage to Vehicle*
Vehicle’s Current Location*
What Other Location?
Has the customer's deductible been collected?

YesNo
OUR DRIVER
PHONE
OTHER DRIVER
YEAR
MAKE
MODEL
PHONE
Upload any relevant files

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Service Dept Only -- Do you need to fill out a Service Work Claims Form?*

YesNo
Download Service Work Claims Form here:

Service Work Claims Form .PDF
Service Work Claims Form

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Original RO

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Estimate for New Repair

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MANAGER PRINT NAME*
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MCGRATH AUTOMOTIVE GROUP ACCIDENT REPORT