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 claim form that must be filled out completely to process your Claims.
The purpose of this form is to inform CARco of your incident 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.

By Submitting This Form You Are Verifying That You Are The Contract Holder and That The Information Provided Below is True.

Customer Name:*
Email Address:
Phone:*
Customer Street:*
Customer City:*
Customer State:*
Customer Zip Code:*
Taking Vehicle To?*
Repair Facility Name*
Contact:
Facility Phone:*
Facility Fax:
Date of Incident*
Year: Make: Model: VIN:*
Claim Type:* Filing For:* Contract Number: Selling Dealership:* Date of Purchase:
What Happened?*
Including Cause of Damage.
Where?*
IF Unknown type of Road traditionally traveled. (I.E. Residential, Highway, etc.)
Did the Tire go Flat?*
What did you do?*
After Incident Occured
Do you think it is/was repairable?*
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