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GET A FREE EVALUATION
Your Name
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Your Email
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Phone Number
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Date of Accident
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Year, make & model of your car
*
Describe where and how
*
Did the responsible party for the accident have insurance? *
No
Yes
Is there a police report? *
No
Yes
Were you injured in the accident? *
No
Yes
Describe the damage to your car including cost of repairs
*
Has a diminished value assessment been prepared? *
No
Yes
X
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(208) 917-3626
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