Completing a claim form.

OR

Vehicle information

Customer information

Contract informations

Repair information

Claim information

Labor time is based on nationally recognized ALLDATA©, Mitchell© labor guides/software programs or manufacturer's labor guide. Diagnostic time is not covered.
 
Choose a part...
*A maximum of 20% (or $200) of profit on subcontracting is allocated.
Parts / subcontracting total :
Labor total :
Total of Repair :
$0.00
Cost of Car Rental :
$0.00

Gold, Gold Comfort and Platinum plans, vehicle rental coverage is offered up to $40 per day (plus tax) – 1 day representing 8 hours of approved labor and up to a maximum of $200 (5 days/40 hours labor) per breakdown.

Deductible :
($200.00)
Sub-total :
$0.00
GST :
$0.00
PST :
$0.00
HST (NB) :
$0.00
PST (BC) :
$0.00
HST (NL) :
$0.00
HST (NS) :
$0.00
HST (ON) :
$0.00
PST (MB) :
$0.00
HST (PE) :
$0.00
PST (SK) :
$0.00
Tax : Alabama :
$0.00
Tax : Alaska :
$0.00
Tax : Arizona :
$0.00
Tax : Arkansas :
$0.00
Tax : California :
$0.00
Tax : Colorado :
$0.00
Tax : Connecticut :
$0.00
Tax : Delaware :
$0.00
Tax : District of Columbia :
$0.00
Tax : Florida :
$0.00
Tax : Georgia :
$0.00
Tax : Hawaii :
$0.00
Tax : Idaho :
$0.00
Tax : Illinois :
$0.00
Tax : Indiana :
$0.00
Tax : Iowa :
$0.00
Tax : Kansas :
$0.00
Tax : Kentucky :
$0.00
Tax : Louisiana :
$0.00
Tax : Maine :
$0.00
Tax : Maryland :
$0.00
Tax : Massachusetts :
$0.00
Tax : Michigan :
$0.00
Tax : Minnesota :
$0.00
Tax : Mississippi :
$0.00
Tax : Missouri :
$0.00
Tax : Montana :
$0.00
Tax : Nebraska :
$0.00
Tax : Nevada :
$0.00
Tax : New Hampshire :
$0.00
Tax : New Jersey :
$0.00
Tax : New Mexico :
$0.00
Tax : New York :
$0.00
Tax : North Carolina :
$0.00
Tax : North Dakota :
$0.00
Tax : Ohio :
$0.00
Tax : Oklahoma :
$0.00
Tax : Oregon :
$0.00
Tax : Pennsylvania :
$0.00
Tax : Puerto Rico :
$0.00
Tax : Rhode Island :
$0.00
Tax : South Carolina :
$0.00
Tax : South Dakota :
$0.00
Tax : Tennessee :
$0.00
Tax : Texas :
$0.00
Tax : Utah :
$0.00
Tax : Vermont :
$0.00
Tax : Virginia :
$0.00
Tax : Washington :
$0.00
Tax : West Virginia :
$0.00
Wisconsin :
$0.00
Tax : Wyoming :
$0.00
No tax :
$0.00
Claim Total :
$0.00