Insurance Order Form


Customer Name
*
Policy #
*
Phone Number
* --
Agency/Contact Name
Agency Phone Number
* --
Agent email
Special Instructions




How it Works:

1.) Please fill out all information.

2.) Click "Submit Form" and your order will automatically be sent to an ALLSTAR claims expert.

3.) We will contact your customer within 15 minutes and connect them, by "3-way", to the appropriate claim reporting center.

4.) We will assist them in the claim process.

5.) We will set up an appointment between the hours of 6am & 6pm Monday-Saturday.

6.) We will call you back and confirm reciept of the "Glass Claim Report".

It's that simple!

* - denotes a required field

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