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Get and Sign AMERICAN VALET CLAIM INFORMATION
Insurance company. TYPE OF CLAIM Damage Theft Vehicle Yes Other No Full Name PLACE OF INCIDENT City State Phone Cell Phone Claim Check Driver s License Plate Color Year Make Parking Facility Address Time In Driven By Time Out Description and Comments Zip Model Date Was Damage Reported Before Customer Left Premises DAMAGE Other Specify E-mail VEHICLE Personal Injury Indicate Damaged Areas With an X Front of Vehicle Driver s Side THEFT INJURED PERSON Was Theft Reported to Police Item Stolen of...
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