Claims

Thank you for visiting the AutoDefense online claim form. Please be as descriptive as possible. If you have difficulty filling out this form please call 844-309-4899 or email claims@autodefenseint.com.

Customer Information
Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone*
Email*
Warranty Information
Warranty Number
Vehicle Information
Year*
Make*
Model*
Vehicle Identification Number (VIN)
Odometer (Mile on the vehicle)
Seat Material
- Cloth
- Leather
Interior Color
Exterior Color
Date of Vehicle Purchase
MM slash DD slash YYYY
Claim Information
Type of Claim*
- Paint
- Interior
- Ding
- Rip, Tear, or Burn
- Rust
- Sound Deadening
Today's Date
MM slash DD slash YYYY
Date you became aware of damage*
MM slash DD slash YYYY
Location of Damage*
Description of Damage*
Any methods used to correct the damage?
Please upload a photo of the damage.
Drop files here or

Accepted file types: png, jpg, jpeg, png, Max. file size: 512 MB.
By initialing here you agree that all information provided is correct and truthful. AutoDefense will use the information you provide to process your claim. Initial field.*
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Claims

Customer Information

Warranty Information

Vehicle Information

Claim Information

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