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 StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest 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