If you have any issues after clicking the “Submit” button, please call us immediately (844) 376-4928 or print the Claim Form, fill it out and fax or email it to us.

Contact info is at the top right hand side of the “Submit a claim” screen.

 

Owner/Customer name

*By completing the required email field on behalf of the vehicle owner, it is consent to for us to contact them regarding the filing of this claim and other communications from BG Products, Inc. The vehicle owner can unsubscribe from these communications at any time. BG Products, Inc. is committed to protecting and respecting privacy. Please review our Privacy Policy.

Vehicle

Repair company

Preferred Contact:

Service company

Preferred Contact:

Resolution info

Costs

Taxed on: