Insurance/Repair Forms

Repair/Insurance Forms

Please print and complete the three forms below, which can be opened as a PDF or Doc file, and bring them with you to the shop. This will enable us to provide you with the fastest and highest-quality service.

Belmont Forms - Download & Print

Belmont Forms - Submit Online

Complete the form below to provide us with your insurance claim information. We do not share any of your personal information with any third-parties to the extent that the law provides. Do not hesitate to contact us if you have any questions or concerns, and please read our privacy policy before continuing.

Customer / Insurance Information

Contact Name:

Insured's Name :

Phone:

Email:

Address (Line 1):

Address (Line 2):

City:

State/Province/Region :

Postal/Zip Code :

Vehicle Year

Vehicle Make

Vehicle Model

Insurance Company :

Policy Number :

Clam Number:

Date of Accident:

Date Accident was Reported:

Adjuster's Phone Number:

Message:

Additional Information :

ABOUT HYNES COLLISION

Hynes Collision Center is family-owned and operated since 1959. Our state-of-the-art facilities in Belmont, Woburn, and Haverhill allow our experts to service your vehicle with the latest and best repair technologies. We're proud to be Greater Boston's premier auto collision company.

LOCATIONS

BELMONT
7 Flett Road
617-489-1800

WOBURN
293 Salem Street
781-933-5350

HAVERHILL
17 Lafayette Street

978-521-1101

SITE MAP