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1) During the claims-handling process, were you specifically informed of your right to choose a repair shop? Yes_______ No________
(Here’s what you should have heard: “You have the legal right to choose a repair shop to fix your vehicle. Your policy will cover the costs of repairing your vehicle to its pre-accident condition no matter where you have repairs made. Have you selected a repair shop or would you like a referral?”)
2) If you had your vehicle repaired at the shop recommended by the insurer, did they provide written correspondence that they recommended a repair shop?
Yes______ No______
3) Was your right to choose a repair shop respected during the claims-handling process?
(If you indicated you had selected a repair shop and you were subsequently either discouraged from going to that shop or encouraged to go to another shop, you should answer “no” to this question.)
Yes_______ No________
If no, please elaborate regarding how your claim was handled.
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
Insurance company _______________________________________________________
Name of insurance representative you reported claim to ____________________________
Approximate date ______________________________
Policy # and/or claim# _______________________________________________________
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