Agent Scheduler

Welcome to Rex Impact’s agent scheduler page, where you can refer your clients to any of our CCA locations and take advantage of all our complete vehicle services.   We created this page to help insure your customer gets prompt and immediate service and guarantees we identify them as your customer.

Please fill out the information requested below and hit send.    If you have any questions please call 888-425-5973.

Customer Information: (* indicates required field)
*Name:
*Phone:
Email:
Policy Number:
Claim Number:
Tow Needed?
***For disabled vehicle emergency tow call Certified Towing at - 630-584-4399
Rental Car Needed?
Hail Damage?
*Please Select A Location (required)

*Please Select Your CCA Marketer (required)

Agent Information:
Insurance Co:
*Agent Name (required):
Agency Email:
Agency Phone:
Agency Fax:
Deductible:

Vehicle Information:
Vehicle Make:
Vehicle Model:
Vehicle Year:
Vehicle VIN Number:

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