Iowa Auto Glass
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IOWA AUTO GLASS INSURANCE CLAIM FORM

Thank you for contacting the Iowa Auto Glass claim center. Take a few minutes to submit your auto glass claim by providing your insurance information below.

A claim representative will contact you to review your policy coverage and assist you in scheduling an appointment with your preferred glass installer. We work on behalf of the insured and do not get influenced by steering tactics. It’s the law and we stand behind it.

Customer Name*:

Home Phone Number*:

Work Phone Number:

Cell Phone Number:

Email Address*:

State*:

Address On Policy*:

Policy Number*:

17 Digit VIN Number:

Agency Name & Phone Number:

Preferred City for Repair:

Vehicle Information:

Make:
(i.e. Chevrolet)

Model:
(i.e. Silverado C3500)

Style:
(i.e. 4 Door Crew Cab)

Year:

Damage Information:

The piece of glass damaged is the:

Date of Loss:

Cause:

Deductible Amount:

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Iowa Auto Glass is...
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» Instant Scheduling
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» Certified technicians
» Lowest prices in the area
Make an Autoglass Claim Online
Iowa Auto Glass Claim

Auto Glass can be expensive
Most deductibles are less than $200
Choose your city & state and start your claim online

It’s that Simple!

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