File a Claim

Please answer all of the questions below to file a damage claim.

First Name*
Last Name*
Phone*
Email*
Date of Incident*
Date Format: MM slash DD slash YYYY
Time of Incident*

: HH

MM
Damaged Area*
Additional Information*
Membership Status NOT USED*
Are you a Splashin Eco Car Wash Unlimited Club Member?
- Splash In Eco Car Wash Unlimited Club Member
Receipt Number
Splash In Location*
Type of Wash Purchased*
Type of Wash Purchased*
Type of Wash Purchased*
Customer Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Vehicle Color*
Vehicle Make*
Vehicle Model*
Vehicle Year*
Tag Number*
Assisting Employee Name*
An email will be sent from Splash In Customer Service to the address provided, serving as claim confirmation. A member of the Splash In Customer Service team may be in touch via phone or email to gather additional information as needed.
Case Origin
Case Status
Case Owner
Case Record Type
Type
Categories - Damage Claim

Splash In Corporate Office

102 Centennial Street La Plata, MD 20646