Submit A Claim - Crystal Fusion

Information you will need to start a claim

Name(Required)

First Last

Phone(Required)

Email(Required)

Address(Required)

Street Address Address Line 2 City State ZIP

Vehicle ID number (Vin #)(Required)

Damage(Required)

Chip (less than a quarter size)

Crack (Larger than a quarter)

Date of Damage(Required)

Date of Damage Confirmation(Required)

I confirm the date of damage.

Date of Damage Confirmation(Required)

I confirm the date of damage.

Upload Photos(Required)

Drop files here or

Accepted file types: jpg, gif, png, pdf, Max. file size: 50 MB.

Briefly describe how the damage occurred.(Required)

Additional Information

Do you live close to the dealer?(Required)

Yes