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File a Claim

Welcome to the Simoniz Online Claim System!

To file a claim we require 3 items:

  1. A letter stating:
    • Customer name, address, and phone number
    • Year, make and model of vehicle
    • Description of damage on vehicle
  2. A copy of the customer’s warranty
  3. A repair estimate from a repair facility / detail shop. Please be sure the complete V.I.N is on the estimate.

Once you have all the required information you can submit it here or email it to: claims@simoniz.com.

If you select to file your claim via fax, please submit all required documents to: (860) 643-3886.

Please tell us about yourself: (* denotes required fields)

Name *
Warranty Number *
Address *
 Address 2
City *
State *
 Zip *
Phone Number *
 Email Address *

Vehicle Information

Where was the vehicle purchased? *
Year *
 Make *
Model *
 VIN# *
Uploading your photos of the damaged area for your claim can expedite the claim process. *
Maximum Total File Size: 20mb
Allow Files: png, jpg, jpeg, bmp, pdf, gif, zip

Claim Information

Damage Area / Claim Type *
Date of Occurrence: *
Description of Damage *
Correction Attempts *
Please upload estimate with vehicle identification number (VIN) *

Dealer Information

If this is a dealership completing the form, please supply the following:

Dealership Name:
Contact at Dealership:
Dealership Phone Number:
Dealership Representative Email Address:

To protect your vehicle with GlassCoat or ProSelect, talk to your local dealer.