FBWSR Quick Estimate & Appointment Form

Get a Quote or Schedule An Appointment!

Rock Chip & Crack Repair
Don't Let A Chipped Or Cracked Windshield Jeopardize
Your Safety Or Vision!

This easy-to-use form lets you get a quick estimate for your rock chip or crack repair and the option to schedule an appointment* – all online in a few minutes.

We accept a variety of payment methods for your convenience, including cash, credit/debit cards, Apple Pay, Google Pay, Cash App, and Afterpay.

Insurance Claims Welcome: Let us handle the complexities of your insurance claim for a smooth repair process.

Once you submit this information, we will either call, text or email you the estimated repair cost.

*We Will Verify With You If The Appointment Time & Date You Have Chosen Is Available*
Name*

First NameLast Name
Phone Number*
Email*
example@example.com
Address For Service*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Type Of Vehicle For Estimate or Repair?*
Location Of Damage (Windshield, Side Window, etc.):
Side Windows, Back Glass MUST Be Laminated To Be Repaired.
Number Of Rock Chips:
1, 2, 3 etc..
Size Of The Rock Chips*
Number Of Cracks (length if possible):
4", 6", 8" etc..
Have You Or Another Repair Company Attempted to Repair The Damage On Your Windshield?*

YesNo
Date Of Damage*

MonthDayYear
Date
Picture(s) Of The Rock Chips Or Cracks - **Picture(s) Need To Be As Clear As Possible And Close Up For An Accurate Estimate***

Required For An Estimate
Cancelof
Appointment Date & Time - **Depending On Availability**
Form Of Payment:
We Accept Cash, Credit Cards, Google Pay, Apple Pay, Cash App, AfterPay / Insurance Claims
Additional Information Or Comments
Optional
Windshield Repair Terms, Conditions, & Warranty Information

By booking this repair, I understand that the repair(s) may still be visible upon completion. I understand and agree that, although extremely unlikely, if the damaged glass should fail during the repair process and replacement glass is needed, I hold Fat Boy's Windshield Repair harmless and not liable for any costs of any kind.

Our repairs are GUARANTEED not to crack further for as long as you own your vehicle. Our Failure rate is less than 1%. This means that having a crack repaired by FBWR fails is a rare event. The physical appearance of the repair will improve overall, 70% to 85%. However, if you find the crack spreading further, call us as soon as possible. We will inspect the crack and if possible repair it. If it is not possible to repair it, the amount paid as shown on your receipt will be refunded to the person or company who paid for the repair service as shown on receipt. Receipt must be shown for reimbursement.

Note: We will not guarantee cracks or other damage on your windshield that have been repaired by another auto glass company, or from new damage that did not originate from the damage indicated on your receipt. Altered receipts will void our guarantee / warranty. I have been instructed as to the expectations; warranties and disclaimers involved with windshield repair and understand Fat Boy's Windshield Repair's policies regarding these matters.

Signing below indicates that you have read and agree to the terms set herein.
Signature*

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