Columbia Dent Company Intake Form

Full Name *

Email *

Phone *

I Consent to Receive SMS Notifications, Alerts & Occasional Marketing Communication from company. Message frequency varies. You can reply STOP to unsubscribe at any time.

Vehicle Year *

Vehicle Make *

Vehicle Model *

Vehicle Color *

Payee *

Additional Comments *

Insurance provider

Policy Number

Deductible

Claim Number

Date Of Loss

Adjuster Information

Insurance EOR

Insurance SOR 1

Insurance SOR 2

Severity Class

Hail Severity Class

PDR Severity Class

Severity class determines what calendar link we might send, in the event they don't schedule right away.

Upload Photos

4 Corners

Vin Label

Mileage

License

Damage Photos

Photos should include:

Damage with Natural Reflection

Damage with Reflection Source

Damage with Measurements & Factors Marked

We should be able to clearly see the whole panel in at least one photo

Upload Photos of Damage

If Via phone, ask customer send photos of damage.

When asking for photos, ask for the following:

-Straight on with whole panel

-Close up of dent, if smaller in size

-Angle from front

-Angle from back

Don't forget to clean panel, before and after!

Present Estimate to Client

Our Estimate

Estimate total

Overcome Objections!

Encourage client to schedule now.

This will secure their spot on the calendar.

Send D2P

Sent