File A ClaimEasy as filling out a form

For all claims, please fill out the form below or contact us the following:

Lodestar Inc.
Attn: Claims
5051 Journal Center Blvd. NE Ste 320
Albuquerque, NM 87109
877-674-6123

STEP ONE - CONTACT INFORMATION

I AM THE

Dealership Name

Service Advisor Full Name

Dealer Phone

Dealer Email

Key Tag

RO Number

First Name

Last Name

Contact Phone

Address

Apt, suite, etc.

Country

City

State

Zip code

STEP 2 - VEHICLE INFORMATION

Year

Make

Model

VIN #

Dealership

Warranty Registration Number

When was vehicle purchased?

Current Mileage on Vehicle *

STEP 3 - CLAIM DESCRIPTION INFORMATION

Select Type of Damage *

Date Damage Noticed

Description of Damage

Damage Location

Cause of Damage

Size of Damage

Other

Methods to Remedy Damage?

Upload Image #1

File Upload #2

File Upload #3

STEP 4 - ACCEPTANCE AND SUBMISSION

IMPORTANT!

Please read the following statements carefully, as a claim will not be processed unless initials from the claimant / service advisor have been provided.

Please type your initials to indicate: I am aware that Eckbond Inc. relies on the information and statements above. I hereby certify that the above statements are complete and accurate to the best of my knowledge. I understand that any inaccurate information entered on this form could affect the outcome of the claim, including denial of claim.

Signature

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