Chicago | Collision Consulting

Female Motorist Involved In Car Accident Calling Insurance Company Or Recovery Service

Serving Northeast Illinois (metropolitan Chicago) Southeast Wisconsin and Northwestern Indiana.

Please email us at: Chicago@CollisionConsulting.com,
or call us at: (847) 697-4432,
or use our online form below.

If you are submitting the repair documents via the form, we only need your email address and phone number.

Title *

Name: *

First

Last

Address:

City:

State:

Zip:

Daytime Phone with Area Code: *

Email Address: *

If the repair shop and/or insurance company sent the repair documentation please attached it to this message. Also please be sure that it is the most up-to-date copy, not just the preliminary estimate.

Click or drag files to this area to upload. You can upload up to 5 files.

Vehicle Information

17 Digit Vehicle Identification Number (VIN):

Vehicle Year:

Vehicle Make: (Chevrolet, Ford, Lexus, etc.):

Vehicle Model: (Malibu, F-150, GS 350, etc.):

Vehicle Trim Level: (LS, LT, SL, XLE, etc. - if known):

Vehicle Mileage:

Vehicle Color:

Cost of Repair:

Vehicle Purchased:

Vehicle Prior Damage:

Other Person's Insurance Company:

Date of the Accident:

Repair Facility / Body Shop:

Working with an Attorney?

Attorney Name (if applicable):

How Did You Hear About Us?

Please Provide Any Additional Information:

Protect your Rights!

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Contact Collision Consulting Today!

Email: info@CollisionConsulting.com

Or contact the office nearest you

Or call

410.355.5500

Contact Us for a FREE Consultation

Collision Consulting Office Locations

Phoenix • Tucson • Maryland • Mississippi • The Carolinas • Philadelphia • New Jersey • Chicago • Other Locations

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