Agent Submissions Submit your client’s auto glass claim information directly to Icon Auto Glass. Store Location*—Please choose an option—NV - Las VegasUT - North Salt Lake Customer Information Customer Name* Customer Email Customer Address Best Telephone Number Year Make Model Policy # Deductible Vehicle Number Date of Loss Glass Needed—Please choose an option—Front WindshieldBack GlassDriver Side DoorPassenger Side DoorRock ChipOther Agency Agency Phone Insurance Company Notes Submitted By: Name Email Address