Purpose of this form:
For submitting a specific technical collision repair related question, problem or issue.
Please fill in all of the form fields, so we can provide you with the right information. When complete, click on the "Submit Form" button to send us your request via e-mail. You can attach any relevant photos, documents or add additional information to the e-mail before clicking the "Send" button. This will provide us with the necessary information to answer your question promptly, or contact you if additional information is needed. Use the [tab] key to move to the next form field.
Your first and last name:
Company you work for:
Phone number to reach you, if needed:
Year, Make & Model of vehicle your question is regarding:
Claim Number (for Allstate Only):
Specific question or description of the situation you are inquiring about:
Click the "Submit Form" button one time to insert your form fields into a new e-mail. Add any additional text, photos or documents to the e-mail which support your information request, then click "Send" to send your e-mail to Tech-Cor. The form data on this web-page will be automatically cleared after you submit your inquiry request via e-mail. Thank you.