What state do you live in and (if different) what state is your business in?
Your answer
Have you had a vehicle lost, stolen, or damaged during transport on a delivery arranged through Central Dispatch? Select all that apply. *
Required
How many vehicles have you had lost or stolen during transport on a delivery arranged through Central Dispatch? *
Your answer
Were any of the lost or stolen vehicles recovered and returned to you?
Your answer
How many lost or stolen vehicles have never been found or recovered?
Your answer
If the lost or stolen vehicle(s) was/were purchased by a motor vehicle dealer or broker and not you individually, please provide the company's name. *
Your answer
Please provide the year, make, and model of each lost or stolen vehicle. *
Your answer
When did each loss occur?
Your answer
Please provide the purchase date, price, and purchase location for each lost or stolen vehicle. *
Your answer
Did you make a complaint to Central Dispatch or Cox Enterprises regarding your lost or stolen vehicles? *
If so, please note the date and outcome of your complaint for each lost or stolen vehicle.
Your answer
Were you compensated for the loss of your stolen or lost vehicle(s)? *
If so, please provide the amount of compensation you received for each vehicle and who (or what entity) provided you with the compensation.
Your answer
Have you filed a lawsuit against any party for the loss of the vehicle(s)? *
If so, please notate the court it was filed in and the associated case number.
Your answer
Who did you sue, and what was the outcome?
Your answer
If you have an attorney currently or used an attorney for any lawsuit relating to the lost or stolen vehicle(s), please provide your attorney's name and contact information.
Your answer
May we contact you regarding your lost or stolen vehicle(s) as we further investigate our clients' potential claims? *
If the answer to the above question is "Yes", what is your preferred method of contact? *
Your answer
A copy of your responses will be emailed to the address you provided.