Start a Claim

File a Claim

If you are an Empire State Warranty Contract Holder, please use the form below to begin filing your claim. If you have a SideCars or truWarranty contract under Empire State Warranty, please email This email address is being protected from spambots. You need JavaScript enabled to view it. to start a claim.

Required to file a claim. *

By checking this box the individual is made aware that by filing a claim, any parts supplied by the repair facility require a minimum of a 12 month warranty.

Service Center Name *

Service Center Email *

Service Center Phone *

VIN *

Vehicle Year *

Vehicle Make *

Vehicle Model *

Current Mileage *

What is the customers concern to start a claim? *

What is the cause of this concern? *

What is the correction to fix the concern? *

What is the license plate number? *

What codes are showing on the vehicle? *

Is there any signs of lack of maintenance? *

Oil sludge, differential, or driveline maintenance done?

Are there any signs this vehicle is being used for commercial use? *

Yes

Rideshare stickers or signs such as Uber or Lyft, commercial license plates, and/or commercial signage or vehicle wrap advertising a business.

If yes, please describe any signs of commercial use you see. *

Aftermarket modifications present on vehicle? *

Yes

If yes, please explain the aftermarket modification(s). *

Are there signs of rust or corrosion? *

Yes

If yes, please include photo(s) of failed part(s). *

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Photo(s) of the failed part(s) in question is required to ensure that the rust or corrosion isn't the reason for the failure. You may upload up to 5 files (max file size 5MB each). Allowed file types include .jpg and .png formats.

Does the tire sizes on the vehicle match the recommended tire size on the door jamb info sticker of the drivers side door? *

Yes

What is the recommended tire size displayed on the door jamb info sticker? *

What are the actual tire size(s) installed on the vehicle? *

What is the amount of the RO request? *

Upload photos of specific area(s) of the vehicle where the part failure(s) occurred.

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You may upload up to 5 files (max file size 5MB). Allowed file types include .jpg and .png formats.

Upload vehicle photos *

Drag and drop files here or Browse

You may upload up to 5 files (max file size 5MB). Allowed file types include .jpg and .png formats.

Upload invoice and/or additional image(s) *

Drag and drop files here or Browse

You may upload up to 5 files (max file size 5MB). Allowed file types include .jpg, .png, .gif, and .pdf formats.

reCAPTCHA *

Start a Claim

File a Claim

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