Schedule Service With Genuine Auto Glass Contact us using our Online Claim Form. Please use this form for general inquiries as well. First Name* Last Name* Phone*Email* Address Street Address City StateAlabamaAlaskaAmerican 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 Make Model Year DoorsPlease Select2 Door4 DoorDamage (check all that apply) Windshield Door Glass - Front Driver Side Door Glass - Front Passenger Door Glass - Rear Driver Side Door Glass - Rear Passenger Side Door Glass - Movable Door Glass - Stationary Other Side Glass - Driver Side Other Side Glass - Passenger Side Back Glass Choose a Genuine Auto Glass LocationPlease SelectTacomaPuyallupAuburnSequimLacey / OlympiaEverettNorth Snohomish CountyYakimaTri-CitiesInsurance InformationInsurance Company Agent PhonePolicy # VIN Comments Great Service Is In Your Neighborhood Find a Location