SDS Sales Field Map – Add Customer SDS New CustomerCustomer InformationEmail(Required) Mobile Phone Number(Required)First Name(Required)Last Name(Required)Vehicle Make/Model/Year(Required)Optional Vehicle PhotosMax. file size: 50 MB.Please limit to 5 due to storage space.Insurance & Claims InformationWho is your insurance company?(Required)Deductible(Required)Have you filed a claim?(Required)YesNoWhat is your claim number?Has an insurance adjuster inspected your vehicle for hail damage?Not yet but I have scheduled an appointment.Yes, I have the estimate for repairs.No, not yet.No, I need help or I have questions.Upload Insurance EstimateMax. file size: 50 MB.Rental CoverageYesNoPartialUnsure, Call INSWhat is your rental coverage per day?Loaner CarNo Rental NeededEnterprise/HertzSD LoanerNot Sure YetSDS Loaner Car Queue? YesHail Damage Inspection InformationWhere would you like us to inspect your vehicle?(Required) Superior Dent Solutions Shop My home or office. First available at shop or home/office.Please choose any option that works for you. If a home inspection is available, we will reach out to you ASAP to get this scheduled.Address Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code What date works best for you? MM slash DD slash YYYY What is your availability? Morning 8:00 am -11:00 am Afternoon 11:00 am – 5:00 pm Evening 5:00 pm – 8:00 pmSelect AllDo you have any additional information or questions?
