Step 1 of 9Customer Details
Please provide the customer details for this claim.
Customer Details
Step 2 of 9Motor Vehicle
Tell us about the vehicle, insurance and finance.
Vehicle details
Repairer
Step 3 of 9
Details of Collision / Incident
Scene of the Collision
Draw a quick sketch of the scene, or upload a photo of a hand-drawn one instead.
Step 5 of 9
At-Fault Driver Details
Step 6 of 9
Passengers & Witnesses
Passenger Details
Witness Details
Step 7 of 9
Police Report & Hire Car
Police Report (if police attended)
Hire Car
Step 8 of 9Upload Documents
All optional, but they help us move faster.
Step 9 of 9
Declaration
I DECLARE that the information I have provided in this form is true and correct. Further, I authorise Third Party Claims to contact any person regarding the accident and I authorise the solicitor acting to provide information about my matter to Third Party Claims. In addition, I understand that the principals of Third Party Claims, Your Ride Car Hire, Insurance Recoveries, Parker Quest Towing and Salvage and Vanessa Ash and My Lawyer PL are Associated. Further, I hereby indemnify Third Party Claims and its agents, officers, principals and employees against all claims and loss. There is no contract and I am barred to sue.
