Renter's Collision Protection

Thank you for your business.

If you have any questions, please contact our Customer Service Center at 1-800-396-9128. We are available from 9:00 AM until 5:00 PM Eastern, Monday through Friday. After hours or on weekends, contact sales@schalberg.com, and we will contact you the next business day. If you made a mistake, please send your receipt to refund@schalberg.com and purchase the correct policy to ensure coverage.

Please note that only the drivers listed on this contract are covered by this product.

Departure Date: * +

Return Date: * +

# of days *

Please Verify Purchase *

Renter's Collision Protection

Agent e-mail address *

RCP Agent ID or Rental Co. Name *

Primary Driver Information

Full Name *

Date of Birth *

Driver/Renter's email address *

Street Address *

Address Line 2

State *

City *

Zip Code *

Phone Number *

Additional Driver #2

First Name

Last Name

Date of Birth

Additional Driver #3

First Name

Last Name

Date of Birth

Click Here to open and print the description of coverage

Thank you again for your purchase.

Print out the Description of Coverage and give it to your customer. It is your customer's guide to what is covered and what is not.

The receipt for this sale will come to the e-mail address you put in above. This receipt is proof of the dates your customer is protected by Renter's Collision Protection.

Remind the customer if she wishes to extend the rental contract, she must purchase additional coverage.