Welcome to C-A-R-co.com's Online Claims Submission Service

Please fill out the Form below to the best of your ability the more information you can provide the quicker CARco can begin to process your claim.After submitting this form you will be provided with a checklist of all the documentation required to process your claim.

By submitting this form you are requesting that CARco open a claim under your waiver or addendum. The purpose of this form is to inform CARco of your loss and your intent to persue coverage. Claims will be entered in the order they are recieved so please follow up with our office to confirm that a claim has been initiated. CARco's business hours are Monday through Friday, 9am-5pm EST all Claims submitted outside of these hours will be processed on the next business day.

Customer Name:*
Email Address:
Phone:*
Customer Street:*
Customer City:*
Customer State:*
Customer Zip Code:*
Lender Name:
Lender Street:
Lender City:
Lender State:
Lender Zip Code:
Account Number:
Loan Term:
Interest Rate:
Who Paid For the Loss?
Insurance Company:
Adjuster:
Phone:
Claim Number:
Date of Loss*
Type of Loss:*
Year: Make: Model: VIN:* Mileage At Loan: Mileage at Loss
Claim Type:* Addendum/Waiver Number: Selling Dealership:* Date of Purchase:
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