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(209) 825-1615 2073 E. Yosemite Avenue Manteca, CA 95336

Please allow 24 to 48 hours for a response.

	First	Last
Your Name
Phone Number
Address
City
State
Zip Code
Email Address
Insurance Information
Insurance Company Name
Claim #
Adjuster Phone #
Automobile Information
Year
Make
Model
Vin Number
License Number
Mileage
Description of Damage

Please be advised that writing an estimate using this method can be efficient and convenient; however, it is recommended that the vehicle be brought to us for a comprehensive inspection.