Bartlett Consolidated ~ Quote Request

Highway Safety is Our Priority!

~ Call for Immediate Service MA & RI Toll Free 800-562-7474 ~

Accident Recovery Bid Request
Please Complete this form and click Submit to send request.
Or you may Print and Mail or Fax This Form.

Your Name Your Company Phone	Ext:

Date of Loss
File / Claim #
Insured Name
Operator Name

Accident Street/Route
Accident Town/City
Accident State
Nearest Mile Marker
Other Landmarks
Property Damage

Accident Investigated by State Police?	Yes No
Accident Investigated by Local Police?	Yes No

Enter Any Additional Comments Below:

Or Print & Mail To:

Bartlett Consolidated LLC
PO Box 810
Plymouth, MA 02362-0810

Or Print & Fax To:
(508) 747-6587

©2008 Bartlett Consolidated LLC All Rights Reserved
Ten Aldrin Road, Plymouth Industrial Park, PO Box 810, Plymouth, MA 02362-0810
(508) 746-4246 | Mail@BartlettConsolidated.com
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