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The quickest way to get your vehicle repairs moving forward is to complete the form. Please provide a brief summary of details in regards to your repair in the message field.

We will review your submission and reach out to you to discuss the next steps to schedule your vehicle repairs.

Request In-Person Consultation

Haury’s Collision & Vintage is certified by 20 vehicle manufacturers so you know we will repair your vehicle correctly to factory specification. No other repair facility in Seattle can match our credentials and quality repairs!

Customer Information

Name *

Email *

Preferred Method Of Communication

Phone (Work/Home/Cell)
Text
Email

Work Phone

Home Phone

Cell Phone

Address *

City *

State *

Zip *

Referral Info

I'm a Return Customer
Dealership Referral
Employee Referral
Customer Referral
Social Media
Manufacturer Certification Program
Law Office
Yelp / Angie's List
Drive-by
Other

Your Repair Priorities

Repair my vehicle to pre-loss condition as closely as possible. Use factory parts, factory repair procedures, and high-quality materials (choose this for repairs with insurance claims).
I want my vehicle repaired safely, but alternate parts and/or cosmetic shortcuts are okay.

HOW CAN WE BEST SERVE YOU?

I want to schedule repairs at Haury's as soon as possible.
I want a repair consultation for my vehicle's damage.
I want an consultation for vintage, custom, and/or mechanical work.
I want information about diminished value or post-repair inspections.

Loss Information

Date Of Loss

Number of occupants in vehicle

Number of children in vehicle

If children were in the vehicle, were they in a child seat?

How is everyone feeling since the accident?

If you have noticed anything different with your vehicle since the accident (rattles, leaks, pulling to one side etc.), please describe below:

Vehicle Information

Vehicle Make Model (Year/Make/Model) *

VIN# *

Mileage *

License plate *

Has your vehicle been repaired before? *

Is your vehicle leased? *

Insurance Information

Payment:

My Insurance
Other Party's Insurance
Self-Pay
Unsure/To Be Determined

Insurance Claim Number:

Insurance Claim Rep:

Insurance Claim Rep Contact Email:

Insurance Company (Involved)

Upload Photos of Damage

Please provide photos that show a close up of the damage followed by a photo of the whole section of the vehicle that is damaged.

Click or drag files to this area to upload. You can upload up to 20 files.

Contact Us

Get Directions
11514 Lake City Way NE
Seattle, WA 98125
Phone: 206-495-4774

Hours

Mon – Fri: 8am – 5pm
(Closed 12pm – 12:45pm for lunch)
Sat: By Appointment Only
Sun: Closed

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