Request a Free Leather Repair Quote

Select CCI Service Location*
Choose your closest location and we'll send your quote directly to them.
Customer First Name*
Customer Last Name*
Customer Address*
Customer City*
Customer State*
Customer Country*
Customer Zip*
Customer Contact Phone Number*
Customer Email Address*
Customer Email Address Please Confirm Email:
Vehicle Year*
Vehicle Make*
Vehicle Model*
VIN #*
Description of Damage*
Please describe what type of damage you have:
Customer Best Contact Method
Customer Receive Text Message via SMS
SilverRock Claim Representative First Name
SilverRock Claim Representative Last Name
SilverRock Claim Representative Email*
SilverRock Claim Representative Phone Number*
Comments
Please describe what type of damage you have:
Upload Photos

For superior service, you can upload multiple photos to expedite your service request. Thank You.
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Accepted file types: jpg, jpeg, gif, png, Max. file size: 8 MB, Max. files: 5.
Only jpg, jpeg, gif, png allowed. 5 Meg upload max per image.
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Only jpg, jpeg, gif, png allowed. 5 Meg upload max per image.
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Image 3

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Image 5

Only jpg, jpeg, gif, png allowed. 5 Meg upload max per image.
Image 6

Only jpg, jpeg, gif, png allowed. 5 Meg upload max per image.
Please note, locations are independently owned and operated and applicable mileage/travel charges may apply depending on service location, varies by location.
Please only click the Send Request button once, it may take several seconds to process depending on the size and number of photos you've submitted. Thank you.

SilverRock Warranty Claim Form

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