American Auto Glass

Information may not be reliable

American Auto Glass is proud to offer you a new Digital Fax Service that is more convenient and will save you time.

Just follow these three easy steps to make sure that we recieve your Digital Fax.
1) Fill out the form provided below.
2) Push "Send Message".

Required Information necessary for processing claim

Policyholder Name (Last, First)

Date of Loss (00/00/0000)

Home Phone (000-000-0000)

Other Phone (000-000-0000)

(What glass needs replaced?)

Agency Contact Person

Agency Contact Phone