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Damage

Body shop

Private individual Company

First name

Last name

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passenger car

electric/
hybrid

van

truck

caravan/
motorhome

other

scratch

dent

extensive damage

glass damage

hail damage

storm damage

paint damage

rims

Type

star crack

Particularities

heated window

tinted window

Type

aluminium rims polished rims diamond cut other

Number of rims damaged

Description of damage

Pictures

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Optionally add an overview photo and a detail photo.

License plate

Make

Model

Chassis number

Carrosserie Valco by Houman, uw carrosserie te Zemst

Hoge Buizen 35 - 1980 Zemst

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MA - DO:	8u00 — 20u00
VR:	8u00 — 18u00