Massey Collision Center
Estimate form (beta version)

WE ARE STILL TESTING THIS FORM SO GIVE US FEEDBACK ON HOW WE CAN IMPROVE
THIS PAGE.
Name:
Phone number:
Insurance Company
Email address:
Mailing address:
Claim Number
VIN(vehicle identification number)
Year
Make
 Model
State
Milage
 License Plate #
Comments:
To complete this form you will need to email photos of your car and the damage to
collisioncenter@masseyauto.com. The requirements for photo's can be found here.
Disclaimer: Any estimate written is just that an estimate. When a car is being repaired it is possible to
find more damage that was not visible during the initial damage assessment. If an estimate is written
off of pictures there is the possibility that some damage was overlooked due to the quality of the
pictures.
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