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To help expedite your claim, please provide an image of the current odometer reading. Please note that you cannot make additional claims on this vehicle once this claim is submitted. If you have any questions before filing, please call Vehicle Fleet Services
PLEASE DO NOT IMMEDIATELY RETURN OR TRANSPORT YOUR VEHICLE
We are excited to provide an alternative method to help validate and expedite your claim. Your Assuracar claim representative may offer to schedule an on-site or virtual inspection through one of our independent partners.

AssuraCar Drivetrain Protection Form

Mechanical Failure Type
Engine
Transmission

Vehicle Information

Vehicle Location

Contact Information

Preferred Communication Method

Supporting Documents

Upload the vehicle's original and current inspection forms. Both items are required for program allowance.

Reminder
Please DO NOT TRANSPORT your vehicle until requested by your arbitration representative.
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