Bumper Medic Auto Repair Specialists Bumper Medic Auto Repair Specialists Bumper Medic Auto Repair Specialists
1. Customer Information
2. Vehicle Information
3. Location Of Damage
Driver Side
Passenger Side
4. Damage Details

Paint Scrape

Plastic Dent

Hole Through Bumper

Tear or Crack in Bumper

Large Plastic Puncture

Paint Peeling

Rock Chips

Paint Fading

Please refer to questions #6,7 if you do not see a photo that accurately depicts your damage.

5. Size of damage
Small - Size of a dollar bill or smaller
Medium - Size of a dollar bill to 1/4 coverage of the bumper
Large - Larger than 1/4 of the bumper
6. Upload A Photo
If you have a photo of the damage that you'd like to include, you can do so here
(only JPG/GIF/PNG files please)

7. Other information. please check boxes that apply to your vehicle
Pearl Paint
Special Color
Piece Missing
Door Dings
Whole Bumper Is Damaged
8. Appointment Information

To help our representatives research schedule availability before responding to your inquiry, please let us know which date/time/location would be most suitable for repairs.

9. Other Information
How did you hear about us?
Additional Comments / Description:

(No links or html please)