Homepage >> Download Geico Supplement Request Form in PDF
Article Map

The GEICO Supplement Request form is an essential tool for repair shops seeking additional compensation for damages not covered in the initial claim. This form must be filled out completely to ensure that all necessary information is provided for processing. When submitting a request, it’s important to send one claim at a time and include a detailed list of the supplemental damages. GEICO requires authorization for any supplements, which means that without their approval, requests may not be honored. The form captures vital details such as the GEICO claim number, customer information, and specifics about the vehicle, including its year, make, and model. Additionally, it asks for the repair facility's contact details and tax identification number, ensuring that all parties are clearly identified. There is also space for any additional comments or information that might support the request. Properly completing this form can help facilitate a smoother claims process and ensure that repair facilities receive the compensation they deserve.

Document Data

Fact Name Details
Purpose The GEICO Supplement Request Form is designed for repair shops to request additional payment for supplemental damages related to a claim.
Submission Process Requests must be submitted one claim at a time, ensuring clarity and efficiency in processing.
Required Information All sections of the form must be completed, including the GEICO claim number, customer name, and details about the vehicle and repair facility.
Email Submission Completed forms should be emailed directly to GEICO, facilitating quick communication and processing.
Authorization Requirement No supplement will be honored unless it has been authorized by GEICO, emphasizing the need for prior approval.
Repair Facility Information Details such as the repair facility's name, address, contact information, and federal tax ID number are crucial for processing the request.
Vehicle Status The form requires information on whether the vehicle is currently at the repair facility, which can impact the approval process.

How to Write Geico Supplement Request

Completing the Geico Supplement Request form is an important step in ensuring that your claim is processed smoothly. By following these steps, you can provide all necessary information for Geico to review your request. Make sure to gather all required details before starting the form to avoid any delays.

  1. Locate the Geico Supplement Request form, either in print or online.
  2. Fill in the **GEICO Claim Number** at the top of the form. This number is crucial for identifying your claim.
  3. Provide the **Shop Email** where you want the request to be sent.
  4. Enter the **Customer Name** who is associated with the claim.
  5. Indicate the **Vehicle Year**, **Make**, and **Model** of the car involved in the claim.
  6. Write down the **Repair Facility Name** where the vehicle is being repaired.
  7. Fill in the **Repair Facility Address** to ensure proper communication.
  8. Provide the **Repair Facility Contact** person’s name for any follow-up questions.
  9. List the **Repair Facility Phone Number** for quick reference.
  10. Enter the **Repair Facility Federal Tax ID#** for identification purposes.
  11. Indicate whether the vehicle is currently at the repair facility by checking **Yes** or **No**.
  12. Include any **Additional Comments or Information** that may be relevant to your request.
  13. Review all entries for accuracy before submission.
  14. Email the completed form along with a list of supplemental damages to Geico, ensuring that you submit requests for one claim at a time.

Geico Supplement Request Example