File a Claim

Welcome to the Simoniz Online Claim System!

You can file a claim online by simply completing the entire form below or you can email all the information to claims@simoniz.com

If you have any questions related to the claims process please call: (833) 539-1660

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

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

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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

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Claim Information

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

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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:

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