Damage Report Form Name* First Last Company (optional) Phone*Email (optional) Year, Make and Model of Vehicle* Location of pick up* Street Address City State / Province / Region Location of delivery* Street Address City State / Province / Region Date of pick up* MM slash DD slash YYYY Please describe the damages.*Please describe the specific damage incurred in detail. If known, include type of damage, when the damage occurred, and how the damage occurred.We will respond to your report within 48 hours. It is our policy that damages must be reported within 24 hours of delivery. It is the responsibility of the customer to examine the vehicle after delivery.NameThis field is for validation purposes and should be left unchanged.