Insurance Company:
State:
Vehicle Model & Make:
Area:
City:
VIN#:
Engine Size:
Exterior Color Code:
Interior Color Code:
(The state where the work will be done.)
(The specific area of the state.)
(The city where the work will be done.)
Year:
(If applicable.)
(If applicable.)
Production Date:
Package:
Body Type:
(Example: SE, XL, LT)
Please enter DETAILED information about the part(s) needed. Example: Please include conditions and options on doors, ie: regulator, mirrors, locks, etc. Press ENTER (or return) after EACH PART. (You may copy and paste* the information if you choose to do so.) When your request is complete, press the SUBMIT button at the bottom of the screen.) Please be aware that parts cannot be acurately priced unless all detailed information is submitted.
Power or Manual?:
Copyright, ARC Systems, Inc. All rights reserved.
Contact E-mail:
Contact:
(Please make sure this is correct. If it is not entered
correctly, we cannot send your quote in a timely fashion.)
Office Phone:
Report suggestions or problems here.
Cell:
Claim#:
Quote Deadline:
(Please include DATE and TIME, as well as, AM or PM.)
Fax:
I prefer to be contacted by:
*1. Highlight the text you want to copy by holding down your LEFT mouse button and dragging your cursor across the text. After it is highlighted, click your RIGHT mouse button and choose COPY.
2. Now LEFT click your mouse (or cursor) into the area you want to transfer the copied text into. Then RIGHT click. Choose PASTE.
Press press ENTER (or return) after EACH PART.
(If you are an Insurance Claims Adjuster, and new to ARCS, please register here before submitting your first request.)
