Name
*
First Name
Last Name
Phone
(###)
###
####
Email Address
*
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Drivers License Number
Select Location
*
Franke (4100 N Franke Rd, Traverse City, MI)
Plainwell (1193 M-89, Plainwell, MI)
West Main (6670 West Main St, Kalamazoo, MI)
Shaver (8990 Shaver Rd, Portage, MI)
Gull (5820 Gull Rd, Kalamazoo, MI)
Westnedge (5225 S Westnedge Ave, Portage, MI)
What wash did you purchase?
$12
$10
$8
$6
$15 Shine Shield
$13 Shine Shield
$11 Shine Shield
$18 Signature Wash
Which Bay
Soft Touch or Touch Free
Date and Time of Incident
*
The last 4 digits of the card that you used or name on your VIP Club Membership account
*
Damaged Area
*
Vehicle Year
*
Vehicle Color
*
Vehicle Make and Model
*
Vehicle License Plate
*
PLEASE READ THE FOLLOWING INPORTANT INFORMATION BEFORE LEAVING THIS PAGE:
All claims may take up to 2 weeks to process. This process requires reviewing the following items: Video surveillance, machine logs, purchase logs, consultation with vehicle manufacturers, VIN checks (recalls, prior accident damage). We appreciate your understanding of our extensive process as we cannot reach a decision until all factors are considered.
We strongly suggest that you obtain two separate quotes for repair at your earliest convenience, as you may be asked to provide this information.
REMINDER: ALL PHOTOS MUST BE SUBMITTED WITHIN 7 DAYS FOR CLAIM TO BE CONSIDERED VALID
Please email all photos to claims@xtremeclean.me
1) Up-close photos of the damage
2) Far away photos of damage indicating the exact location on the car
3) Picture of vehicle VIN # located on the driver’s side lower right corner of the windshield
4) Picture of License Plate
Please check your inbox and junk folder for an email response from us regarding your claim.
For more info, please return to our Help Center.
