Rental Car Request Form - Go Rentals

  • What is your first name?
  • What is your last name?
  • What is your email address?
  • What is your phone number?
  • What is the year, make and model of the car that was damaged?
    YearMakeModel
  • What is the name of the body shop where your car is being repaired?
  • What is the name of your contact at the body shop?
  • What is the phone number for the body shop?
  • What is the address of the body shop?
  • Please enter your claim adjuster's name.
  • What is the claim adjusters phone number?
  • What is the claim adjuster's email address?
  • Please enter your claim number, if known.
  • Please enter the coverage amount you have available for a rental car.
  • Documents and Comments

  • Please use this field to upload any relevant documents.
    Drop files here or
    Max. file size: 128 MB, Max. files: 10.
    • Please enter any additional remarks in the space below.

    Michael Battle




    Michael W. Battle earned a Bachelor of Business Administration (Risk Management) degree from Southern Methodist University. For the last 43 years, he has been a Partner and Director at Keen Battle Mead & Company. Michael has served on Boards of Directors, which include being Past-President of the Independent Insurance Agents of Dade County, Past-President of Riviera Country Club, Past-President of Snapper Creek Lakes Homeowners Association, Past-Chairman of Habitat for Humanity of Greater Miami, Past-Director of the Two Hundred Club of Miami. His Board service on a national business level has included: Director of The Council of Insurance Agents and Brokers, Executive Council of Crum & Forster Insurance Company, and President of Sunshine Insurance Limited, a Bermuda Reinsurance Company. Michael has also served the Florida Association of Insurance Agents as Vice Chair of the Automation Committee, the Legislative Committee, and Chairman of the Local Boards Committee.


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