Simoniz USA

Submit a Claim

Welcome to Simoniz Online Claim System!

To file a claim we require 3 items:

  1. A letter stating:
    1. Customer name, address, and phone number
    2. Year, make and model of vehicle
    3. Description of damage on vehicle
  2. A copy of the customer’s warranty
  3. A repair estimate from a repair facility / detail shop. Please be sure the complete V.I.N is on the estimate.

Once you have all the required information you can submit it here or email it to: claims@simoniz.com.

If you select to file your claim via fax, please submit all required documents to: (860) 643-3886.


Please tell us about yourself: (* denotes required fields)

Name *
Warranty Number *
Address *
Address 2
City *
State *
Zip *
Phone Number *
Email Address *

Vehicle Information

Where was the vehicle purchased? *
Year *
Make *
Model *
VIN# *
Uploading your photos of the damaged area for your claim can expedite the claim process
Maximum File Size: 10mb
Allow Files: png, jpg, jpeg, bmp, pdf, gif

Claim Information

Damage Area-Claim Type *
Date of Occurrence: *
Description of Damage *
Correction Attempts *
Please upload estimate with vehicle identification number (VIN) *

Dealer Information

If this is a dealership completing the form, please supply the following:

Dealership Name:
Contact at Dealership:
Dealership Phone Number:
Dealership Representative Email Address: