Audi After Care

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Name

Phone

Have you reviewed your “Terms and Conditions” paperwork before requesting to start a claim?

Yes

VIN

Current Mileage

How many points of damage would like repaired?

Please explain in detail what damage you would like repaired. (Type and location on vehicle)

Please explain in detail how the damage occurred. (When, where, and how at minimum.)

If more than one repair/painted area required, please prioritize which ones are most important.

If claim is more than the maximum allowable coverage of $2000, are you willing to pay the difference?

Yes

Is this vehicle a lease that you plan on buying out?

Yes

Not Sure

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Audi Durham

Audi After Care

Audi After Care Appearance Form