Customer Forms

Feel free to browse the policy forms below, and when ready simply click the button below to get your free quote.

Get Free Quote

Online Customer Forms

Thank you for being a customer of Protect My Car. If you are visiting the Customer Forms page, or if you are having any problems with your policy please call Customer Service at (888) 964-6754. If you believe this form page is missing a required form please email Customer Service for assistance.

EXTENDED WARRANTY FORMS

DRIVELINE
Protect My Car Driveline Policy shield icon with single star.Driveline Policy
Select
Protect My Car Select Policy shield icon with two stars.Select Policy
Supreme
Protect My Car Supreme Policy shield icon with three stars.Supreme Policy

MISCELLANEOUS FORMS

PDF file icon.Cancellation Form

FREE QUOTE - START SAVING TODAY

Disclaimer: By submitting this form I am giving Protect My Car consent to contact me by email and/or telephone which may include artificial or pre-recorded calls and/or text messages, delivered via automated technology at the telephone number(s) provided above even if I am on a corporate, state or national Do Not Call Registry. I understand that consent is not a condition of purchase. For sms messaging text stop to stop. Msg and data rates may apply. Max 10 messages per month. The Protect My Car privacy policy governs our data collection policy. Protect My Car does not offer or sell Vehicle Service Contracts in CA, FL, NY, VA, MO, LA, WA or OK.