Customer Service Claims

Submit any claims regarding your service below.

Customer Service Claims

Are you a Customer or Employee?(Required)

Location Information

Department

Date(Required)

Time(Required)

Address(Required)

Street Address City State Zip Code

Customer Information

Customers Name(Required)

First Last

Customers Email(Required)

A copy of this form will be sent to the email provided.

Customers Email(Required)

A copy of this form will be sent to the email provided.

Customers Phone Number(Required)

Address(Required)

Street Address City State Zip Code

Vehicle Information

Vehicle Make(Required)

Vehicle Model(Required)

Vehicle Year(Required)

Vehicle Color(Required)

License Plate(Required)

VIN(Required)

Statements

Customer Statement(Required)

Claim Approval

Approved

Denied

Company Claim Statement(Required)

Were other vehicles involved?(Required)

If yes, enter Name / Number / License Plate. If no, say none.

Do you have incident photos or documentation to upload?(Required)

File Upload(Required)

Drop files here or

Max. file size: 50 MB.

Attach any documents or pictures associated with the claim.

Submitted By(Required)

‍‍Share the name of the individual submitting this form below.

First Last

Send A Copy District manager(Required)

Enter your district manager's email.

A Claims Representative will be in contact via the information you provided within 72 business hours. We cordially ask to please check your spam/junk folder for any correspondences. In the interim, Super Star Car Wash neither denies or accepts any responsibility until a thorough investigation can be conducted. We appreciate your patience, and we look forward to providing you with an update on your claim. Thank you.

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Super Star Car Wash | Claims Department

[email protected]