Insurance Claim Form
Please complete the form below should you decide to go through your insurance company to repair glass damages on your vehicle. If you do not have car insurance, please fill out a quote on our FREE ESTIMATE page.
Upon completing this form, you agree to authorize Low Price Auto Glass to contact your insurance company or agent on your behalf to process your insurance claim accordingly.
Please note, most insurance companies require their insured customers to initiate the claim process by contacting their agents first or claims department through their company website to obtain a claim number.