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Print Form Reset Form SEND TO ESTIMATICS UNIT - Fax Phone SUPPLEMENT REQUEST REQUESTING SHOP INFORMATION Shop Name Office Phone VEHICLE INFORMATION Claim Number Shop Address/Location Owner Name Phone Vehicle year Fax Original Estimator Contact Person Date of Original Estimate Is vehicle ready for inspection Yes Make Model No SUPPLEMENT INFORMATION REPAIR REPLACE DESCRIPTION PRICE LABOR HRS REF HRS PAINT MAT L ITEMS NOT NEEDED Comments / Approval NOTICE PRIVATE AND CONFIDENTIAL The information...
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