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Colorado Auto Body Express Check-In

Customer Information

Full Name *

Street *

City *

State *

Zip *

Email Address *

Cell Phone

Day Phone *

Work Phone

Fax

Other

How did you hear about us?

Vehicle Information

Year

Make

Model

License

Color

Mileage

VIN#

Insurance Company Information

Insurance Company

Insured

Yes No

Agent Name Optional

Agent Phone Optional

Claimant

Yes No

Claim#

Claim Rep Optional

Phone Optional

Do you have an insurance estimate

Yes No

Who is paying for this repair?

My Insurance Their Insurance Myself

Have you already been issued payment from this insurance company?

Yes No

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Customers filling in the express check-in form will just have to drop off keys and sign a order placement form. We will be ready with the paperwork when you arrive.

Click here for Express Check-In!
Click here to schedule an appoinrment!
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