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Services Request Form
Welcome to iTech Automotive, your solution for all your diagnostic scan's, calibration, repair, and tow services.
Shop Name:
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Shop Address:
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Shop Phone Number:
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Contact Name:
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Vehicle Year:
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- Choose -
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
Vehicle Make:
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ACURA
AUDI
BMW
BUICK
CADILLAC
CHEVROLET
CHRYSLER
DODGE
FIAT
FORD
GENESIS
GMC
HONDA
HUMMER
HYUNDAI
INFINITI
ISUZU
JAGUAR
JEEP
KIA
LAND ROVER
LEXUS
LINCOLN
MAZDA
MERCEDES-BENZ
MERCURY
MINI
MITSUBISHI
NISSAN
PONTIAC
PORSCHE
RAM
SAAB
SATURN
SCION
SMART
SUBARU
SUZUKI
TESLA
TOYOTA
VOLKSWAGEN
VOLVO
Vehicle Model:
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Vehicle Vin #
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Vehicle Impacted?
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Please select one or more that apply to your vehicle services.
No Damage
Front
Left Front
Right Front
Right Side
Left Side
Left Rear
Right Rear
Rear
Undercarriage
Theft Recovery
Shop RO #
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Please enter your Purchase Order/Repair Order or "0" if you don't have one.
Insurance Company:
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Customer Pay
Shop Pay
StateFarm
Connect
Farmers
USAA
Fred Loya
Travelers
Kemper
Infiniti
Wawanesa
Anchor General
Permanent General
PAC Star Insurance
Horce Mann
California Casualties
The HartFord
Allstate
Auto Club
Mercury
Progressive
CEI
Wheels
Fleet Response
Sedgwick
Request Type:
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Please select one of the following if you are looking for quote or repair on the services that was requested.
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Quote ONLY!
Quote and Schedule for the repair
Schedule for the repair
Schedule for Tow
Repair Type:
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Please select one of the following. You will have the option to add on additional services after.
- Choose -
Diagnostics & ADAS Calibrations
Mechanical Services
Coolant & A/C Services
Wheel Alignment
Tire
Wiring Harnesses
Tow Services
Other Services
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Services Request Form
Click Submit to finish.
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