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Grow your business working with America’s leading national solutions provider.

Have Questions?

Call: (714) 633-8324
Email: send us a message
Visit: 2512 Chambers Rd., Suite #201
Tustin, CA 92780

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Join Our Network

Join our service network! High-quality retail service since 1990. We work with insurance companies, automotive groups and Third Party Administrators servicing automotive warranty claims.

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Services Provided

Paintless Dent Repair
Auto Detailing
Interior Detailing
Cosmetic Wheel Repair

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Technician Focused

Industry Leading Pay
Excellent Communication
Service Level Standards
Live Representatives
Quick Response time
Friendly Helpful Staff

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Service Network

Proudly Serving all of North America
National Solution for Vehicle TPA's
The Latest Technology in VSC and Warranty Claims

Become a Service Network Provider

Technician Testimonials

Technician Service Agreement

Please fill out the form below to apply to become a 1-800-DENT-DOC service network provider.

View Service Agreement

Step 1 of 4

25%

Section 1: Contact Information

Company Name(Required)

Tax ID(Required)

Business Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Contact Name(Required)

First Last

Contact Title

Contact Email(Required)

Contact Phone(Required)

Contact Mobile/SMS

Section 2: Company Information

Service Type(Required)

Mobile

Shop

Service Radius (in Miles)(Required)

Please enter a number greater than or equal to 5.

How Many Years in Business?

Section 3: Services Provided

Glass

Repair

Replacement

Exterior

PDR

Hail Repair

Detailing

Wet Sand

Paint Correction

Interior

Fabric

Leather

Cleaning

Tear/Burn

Repair

Dye

Panel Replacement

Stitching

Wheel Repair

Curb Rash Repair

Wheel Refinishing

Wheel Straightening

Cracked Wheel Repair

Powder Coating

Wheel Replacement

Section 4: Company Images

Profile Photo

Accepted file types: jpg, gif, png, pdf, Max. file size: 5 MB.

Company Logo

Accepted file types: jpg, gif, png, pdf, Max. file size: 5 MB.

Signature(Required)

Please sign below to indicate you have read and agree to the 1-800-DENT-DOC Technician Service Agreement (use your mouse or finger)

Form W-9 Instructions

Name(Required)

First Last

As shown on your income tax return

Business Name/Disregarded Entity Name

If different from above

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Check appropriate box for federal tax classification of the person whose name is entered above:(Required)

Individual/Sole Proprietor or Single-Member LLC

C Corporation

S Corporation

Partnership

Trust/Estate

Limited Liability Company

Other

Note: Check the appropriate box in the line above for the tax classification of the single-member owner. Do not check LLC if the LLC is classified as a single-member LLC that is disregarded from the owner unless the owner of the LLC is another LLC that is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single-member LLC that is disregarded from the owner should check the appropriate box for the tax classification of its owner.

Please Describe Your Federal Tax Classification

Codes apply only to certain entities, not individuals; see instructions on page 3:

Exempt payee code (if any)

Exemption from FATCA reporting code (if any)

Taxpayer Identification Number (TIN)

Enter your TIN in the appropriate box and indicate whether it is a social security number (SSN) or employer identification number (EIN). The TIN provided must match the name given on the "Name" line to avoid backup withholding. For individuals, this is your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the Part I instructions on page 4. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN on page 4.

TIN Type(Required)

SSN

EIN

SSN(Required)

EIN(Required)

Certification

Under penalties of perjury, I certify that:

The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and
I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and
I am a U.S. citizen or other U.S. person (defined below); and
The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct.

Consent

By selecting this box I am indicating that I have been notified by the IRS that I am currently subject to backup withholding.

Certification instructions. You must check the box above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions for Part II.

Signature(Required)

Please sign below to indicate your acceptance (use your mouse or finger).

Are You a TPA?

1-800-DENT-DOC provides best-in-class nationwide service solutions for F&I products offered by third party administrators and product providers that include cosmetic repair benefits on automobiles