Windshield Repair Inspection Form
Please complete the form below.
Our technician will inspect your damage & give quote if repairable.
If rain or wash was recent, place in direct sunlight for 1 hour before taking pictures.
1st - tape white paper behind each damage (inside of vehicle).
2nd -take picture from outside of vehicle. (coin near it may help focus)
3rd - tap "Choose File" below & select photos for upload.
One picture per chip / crack.
FIRST & LAST NAME:
REACHABLE PHONE #
How many cracks or chips to be repaired?
If repairable - what City would you like mobile service?
Do Not Fill This Out