Report an Incident

GALAXIES IS NOT RESPONSIBLE FOR

Any Antennas
Non Folded Side View Mirrors
Non Factory Installed Items
windshield wipers
vehicle window breakage
pre-existing damage on your vehicle
any vehicle 10 years or older
bug shields
running boards
spoilers
loose or broken parts
vehicle molding or chrome
luggage/ bike racks
customer negligence
customers not following instructions

Pick Up Trucks

secure any loose items
bed needs to be empty

Name*
First Last
Member ID (if applicable)
*Please Provide Contact Information:
Email*
Phone*
*Date And Time of Incident:
Date*
Date Format: MM slash DD slash YYYY
Time*

: HH

MM
Vehicle Description:
Make*
Model*
Year*
Color*
Please Describe the Incident:
Please describe the incident*
Please Upload Photos of the Damage:
Photos of damage
Drop files here or

Accepted file types: jpg, jpeg, png.
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GALAXIES IS NOT RESPONSIBLE FOR

Pick Up Trucks

*Please Provide Contact Information:

*Date And Time of Incident:

Vehicle Description:

Please Describe the Incident:

Please Upload Photos of the Damage:

A GALAXIES TEAM MEMBER WILL GET BACK TO YOU WITHIN 1 TO 2 BUSINESS DAYS