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Federal Limo
214.575.7344
11211 Ables Ln Dallas Texas 75229
Car Check In/Out
Ins ID - Temp
Ins ID - N
Ins ID - P
Ins ID - R
Ins ID - S
Ins ID - T
Ins ID - V
ACCIDENT FORM
Name
Email
Phone
who you related to accident
Accident date
Accident Time
At time of accident where you
Choose an option
Address of accident
which car where you driving:Plate and Module
Other car:License Plate and Module
Other Car:Insurance company Name and Policy
What happened
Other Driver -Registartion
Upload File
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Other Driver - Driver License
Upload File
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Other Driver Insurance Id
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Upload File
Police Report Card
Upload supported file (Max 15MB)
Picture of other car Damage
Upload File
Upload supported file (Max 15MB)
Picture of other Car Damage 2
Upload File
Upload supported file (Max 15MB)
submit claim
Thank you we will be in touch.
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