Insurance Rentals

Direct Billing for Insurance Rentals is available once a quote has been approved by the Insurance Company.

We must obtain an email approval directly from an Insurance Adjuster prior to the rental, this ensures that they have agreed to the local rental rates and you will not be left with any unexpected expenses.

In order to simplify and speed up this process, please fill out the form below:

We will then provide a quote to you and the Insurance company to be approved.

Please note we will still require a Credit Card when you pick up, as the Insurance Company will not cover Gas or Mileage charges.

We do not accept or obtain Insurance Approvals by Phone

Name on the Insurance Claim / Policy

First Name

Last Name

Your Cell Phone Number

(###)

###

####

Insurance Company

Claim Number

Insurance Adjuster Email

Expected Rental Duration /Dates

Please advise what Dates your vehicle is booked in for repairs, or the estimated number of repair days (or repair hours listed on the Estimate) (excluding weekends/holidays). If the vehicle is not-drivable and / or repair dates have not been established yet please advise when you need the vehicle.

What Type of Vehicle is Required

Please advise the Brand and Model of your vehicle that has the Insurance Claim. If your vehicle is a Truck or 7-Passenger SUV / Van please also confirm if this type of replacement vehicle is required.

Additional Information

Maximum (If Known)