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Vehicles

Windshield Replacement quote form for your website

For windshield and car glass repair and replacement businesses. Customers enter their vehicle (make, model, year), which glass, the damage, repair or replace, features like cameras and sensors, where to do the work and whether it's an insurance claim, with photos.

  • 16 questions for windshield replacement jobs
  • Photo requests built in
  • Address and map pin
  • Ready texts, FAQ and quote message
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quote.cleardrive.com
The windshield replacement quote form made with Quotelatic
The real windshield replacement form, shown with the Professional theme. Your logo, colours and texts go in.
The form

What your customers are asked

Questions come one step at a time, with tap-friendly choices. Every request arrives complete.

Your Vehicle & Glass

1
Vehicle MakeSearchable list
2
Vehicle ModelSearchable list
3
YearDropdown
4
Which glass is damaged?Pick several: Windshield, Rear window, Side window, Sunroof
5
What's the damage?Pick one: Small chip, Crack, Shattered / broken
6
What would you like?Pick one: Repair if possible, Replace the glass, Not sure, advise me
7
Does the windshield have any of these?Pick several: Camera behind the mirror, Rain or light sensor, Heated glass, Head-up display and 2 more
8
Where should we do the work?Pick one: At my home or work, At your workshop
9
Are you claiming on insurance?Pick one: Yes, No, paying myself, Not sure yet

Your Contact Information

10
Full NameShort answer
11
WhatsApp / PhonePhone or WhatsApp
12
Email AddressEmail
13
Your AddressAddress and map pin
14
Preferred DateDate
15
Preferred TimePick one: Morning (9–12), Afternoon (12–4), Evening (4–8), Any time
16
Anything else we should know?Long answer

Photos of the Damage

Damage close-up, Whole windshield, Behind the mirror, plus extra photos. Photos are resized on the phone before upload.

Why these questions

  • Make, model and year decide the exact glass part.
  • Features (camera behind the mirror, sensors, heated glass, head-up display) change the glass and may need camera recalibration.
  • Small chips can often be repaired instead of replacing the glass.
  • Mobile or workshop decides where you send the technician.

Pricing a windshield replacement job from a request

Price by the exact glass part plus fitting and extras.

  • Look up the glass for the make, model, year and features.
  • Add fitting, and calibration for camera systems.
  • Chip repairs: a fixed price per chip.
  • Add a mobile call-out if you charge for it.

Getting more requests

  • Partner with car dealers, garages and fleet managers.
  • Ask insurance-claim customers for a review.

Read the full Windshield Replacement setup guide

Questions about the Windshield Replacement form

Can I change the questions for my windshield replacement business?

Yes. Rename any question or choice, hide what you don't need, make questions optional and add up to 10 of your own. The texts on the page are yours to edit too.

Can I put the form on my existing website?

Yes: as a form inside a page, a popup button, a floating "Get a quote" button or a simple link. It works with WordPress, Wix, Squarespace, Shopify, Webflow and any HTML site.

How do I get the requests?

By email and WhatsApp, and in your dashboard, where you can reply with your price on WhatsApp in two taps.

Is Windshield Replacement included in every plan?

Yes. All 30 industries are included in every plan, and you can switch later from the dashboard.

Start getting better windshield replacement requests

Try every feature free for 7 days. Set up takes about ten minutes.

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