Water beading on a protected vehicle surface

File a Claim

Easy as filling out a form.

Step one

Contact information

I am the*

First name*

Last name*

Contact phone*

Email*

Address

Apt, suite, etc.

City

State

ZIP code

Country

Step two

Vehicle information

Year*

Make*

Model*

Current mileage*

VIN — last 6 characters*

Enter only the last 6 characters of the VIN.

Dealership*

Warranty registration number (optional)

When was vehicle purchased?

Step three

Claim description

Select type of damage*

Describe the damage*

Photos of the damage

Optional — up to 6 images, 10 MB each (JPG, PNG, WebP, HEIC).

Drag photos here, or

Step four

Acceptance and submission

Important

Please read the following statement carefully, as a claim will not be processed unless initials from the claimant / service advisor have been provided.

By typing your initials below you indicate: I am aware that Eckbond Inc. relies on the information and statements above. I hereby certify that the above statements are complete and accurate to the best of my knowledge. I understand that any inaccurate information entered on this form could affect the outcome of the claim, including denial of claim.

Signature (initials)*