Incident report

Incident Report Form.

We're sorry your experience was less than positive today. Kindly fill out this form and a team member will contact you in short order.

Please note that the Report Form must be completed within 24 hours of incident with photos taken onsite before leaving the wash.

Report Form

First Name *

Last Name *

Email *

Phone *

Date of Incident *

Choose an option *

License Plate Number *

Year, Make, Model *

VIN Number *

Nature of Incident *

Time of Incident *

Photos are required and must be taken onsite, before you leave the wash.

All of the vehicle photos below are mandatory. Please capture them while you are still at the location — a report cannot be submitted, or reviewed, without them.

Picture of Damage Area * Upload File Required · image file

Driver Front * Upload File Required · image file

Passenger Front * Upload File Required · image file

Driver Side of Vehicle * Upload File Required · image file

Passenger Side of Vehicle * Upload File Required · image file

Rear of Vehicle * Upload File Required · image file

Driver Rear * Upload File Required · image file

Passenger Rear * Upload File Required · image file

Top of Vehicle * Upload File Required · image file

Picture of Wash Receipt * Upload File Required · image file

Message *

I agree to the Terms & Conditions.

Incident Report Form.

Report Form

Report submitted