Home
Paintless Dent Repair
Hail Damage Repair
Contact

Contact Us

Call Us Text Us

How to Reach Us



Phone

(469) 386-5542



Email

idealdentdallas@gmail.com



Office Location

1251 Industrial Blvd Suite E
Plano TX, 75074



Hours

Mon – Sun: 9am – 5pm
By Appointment

Send Us A Message

"*" indicates required fields

Name*

Email*

Phone*

Message

CAPTCHA

Name

This field is for validation purposes and should be left unchanged.

Customer Authorization Form

Our team of professionals is here to help. Call us at 469-386-5542!

Contact Us

(469) 386-5542

idealdentdallas@gmail.com

1251 Industrial Blvd Suite E
Plano TX, 75074

Mon – Sun: 9am – 5pm
By Appointment

Service Areas

Plano TX, Wylie TX, Allen TX, Garland TX, Sachse TX, Murphy TX, Rowlett TX, Rockwall TX, Frisco TX, Prosper TX, Garland TX, McKinney TX, Carrollton TX, Lewisville TX

"*" indicates required fields

1Customer Information

2Claim Information

3Vehicle Information

4Authorization

Customer Information

Name*

First Name Last Name

Address*

Street Address Address Line 2 City State ZIP Code

Email*

Phone*

How would you prefer to be contacted?*

Phone

Is address above where damage occurred?*

Yes

Where did the damage occur?*

Street Address Address Line 2 City State ZIP Code

Claim Information

If you do not know your deductible amount you can leave blank. But all other information must be filled out.

Need help filing a claim?

Yes

What date did the damage occur?

MM slash DD slash YYYY

What time did the damage occur?

Hours

Minutes

AM/PM

What is the name of your insurance company?

What is your policy number?

Date of Birth

MM slash DD slash YYYY

Last 4 of SS

Claim Number

Your Deductible Amount

Vehicle Information

Color

Year

Make

Model

Rental Car Information

If you do not know your rental policy information, you can leave it blank.

Do you need a rental car?

Yes

Do you have rental car coverage on your policy?

Yes

I don't know

Rental Car Company

Rental Amount per Day

30 Day Max Amount

Rental Reservation # from Insurance Company

Authorization

Today's Date*

MM slash DD slash YYYY

Signature*

Sign Here

CAPTCHA

Phone

This field is for validation purposes and should be left unchanged.