Dent Mechanic Paperwork

Fill out paperwork here online.

Fill out the form below to have our repair authorization documents e-mailed to you for electronic signing.

After you complete the form, look for the documents in your email.

Once you sign the docusign in your email, Dent Mechanic Group will reach out to you within 2-4 business hours to schedule your free enterprise at-home pickup appointment. Dent mechanic will not reach out until you complete the signing process.

Customer Information (Policy Holder)

This is the policy holders information. The address should match the updated address on your insurance policy.

First NamePhoneStreet AddressCity and State (Example: Austin TX)

Last NameEmail addressZip CodePreferred contact method

Vehicle/Insurance Information

This information can be found on your vehicle's insurance card or in your insurance mobile app.

VinVehicle Year (Example: 2021)Make (Example: Toyota/Honda/Hyundai/BMW)Model (Example: Prius/Civic/Genesis/350)Color (Example: Black/Silver/Red)Transmission Type

Deductible (Example: 250/500/750/1000)Rental Coverage Status Insurance CompanyPolicy Number (not required)Claim Number (required)Had initial estimate from insurance?

Promo Code

Thank you! Your submission has been received!

You will receive an email with a link to sign your documents through Docusign.

Dent Mechanic Group will call you within 1 business day to schedule your free at home pickup appointment.

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