Customer Experience Report

Full and complete respons to all the requested information will assist in the investigation and review of your experience. Without all the requested information, it may delay or adversly affect the investigation and processing.

Date the report completed:(Required)

Employee Name:

Customer Name:(Required)

First Last

Customer Address:(Required)

Street Address City State / Province / Region ZIP / Postal Code

Customer Email:(Required)

Customer Phone:(Required)

Vehicle Information:

Vehicle Make:(Required)

Model:(Required)

Year:(Required)

Color(Required)

License Plate:(Required)

Vehicle History:

How long have you owned the vehicle?(Required)

0-2 years

3-7 years

7+ years

Has it ever been in an accident?(Required)

Yes

If so, when?

If in a prior accident, what was the damage?

Incident Information:

Date of incident:(Required)

Time of incident:(Required)

Type of Claim:(Required)

Wiper

Scratch

Trim or molding

Other more significant

Location of Carwash:(Required)

Describe Vehicle Damage:(Required)

How did the incident occur?(Required)

What is your desired outcome or request?(Required)

File

Drop files here or

Max. file size: 100 MB.

Phone

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

River Road – UDF Anderson Ferry

4332 River Road
Cincinnati OH 45204
United States

Phone: 513-833-9777

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Hamilton Township

53 Grandin Rd,
Maineville OH 45039
United States

Phone: 513-622-9850

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Loveland – UDF Branch Hill

6401 Branch Hill Guinea Pike
Loveland OH 45140
United States

Phone: 513-833-9777

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Mariemont Location

7489 Wooster Pike
Cincinnati OH 45227
United States

Phone: 513-272-3764

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NOW OPEN 24/7

Trenton – UDF State Street

950 W State Street
Trenton OH 45067
United States

Phone: 513-833-9777

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COMING SOON

Kings Mills Rd.

5251 Kings Mills Road
Mason OH 45040
United States

Phone: 513-445-9992

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Hamilton – Tylersville/Seward

3911 Tylersville Road
Hamilton OH 45011
United States

Phone: 513-833-9777

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COMING SPRING 2023

Sharonville – Lebanon Road

11740 Lebanon Road
Sharonville Ohio 45241
United States

Phone: 513-214-0548

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