• RacTrak© Certified Shop

  • Image field 8
  • Color

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  • Is there an Insurance Claim for these Damages?
  • Claim Info*

  • Circle the Damage Areas - Do NOT use the "X" Button, only the arrow buttons to make changes*

  • Mandatory Photos Instructions (Mandatory Marked with *)

    Match the Sample Picture shown to the right of each selection - NO BLURRY PHOTOS

    If the Photo is NOT correct, click the DELETE button to retake the Photo

    If the Photo IS correct, click the UPLOAD button to save the Photo

    Your Photo has been Uploaded Correctly once you see this:

  • VIN Plate (Dash-Windshield area)-Click Upload if correct*
  • Image field 11
  • VIN (Inside Drivers Door or Pillar)-Click Upload if correct*
  • Image field 13
  • Odometer (mileage) - Click Upload if correct*
  • Image field 16
  • Left Front Corner - Click Upload if correct
  • Image field 24
  • Right Front Corner - Click Upload if correct
  • Image field 25
  • RT Rear Corner - Click Upload if correct
  • Image field 26
  • License Plate - Click Upload if correct
  • Image field 27
  • Left Rear Corner - Click Upload if correct
  • Image field 28

  • Damage Photos Instructions - 3 Mandatory (Marked with *)

    TAKE PHOTOS IN A SAFE AREA AWAY FROM TRAFFIC !!!

     See Samples Below

    • 1- Step Back about 5-6 ft ( IF SAFE! ) & show SIDE & FRONT or SIDE & REAR 
    • 2- Close Up of DAMAGE
    • 3- About 3 ft away from the DAMAGE

        

     

     

  • Damage Photo 1 - Click Upload if correct*
  • Damage Photo 2 - Click Upload if correct*
  • Damage Photo 3 - Click Upload if correct*
  • Damage Photo 4 - Click Upload if correct
  • Damage Photo 5 - Click Upload if correct
  • Initial here to indicate that the info being submitted is accurate. *

  • The info obtained from this form is for the sole purpose of creating a damage estimate. 

    All info will remain secure and confidential. Thank you for using our service.     

    RacTrak©

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