Get Allianz Fleet Motor Accident Report Form 2012-2025

This guide provides you with clear instructions on how to properly complete the Allianz Fleet Motor Accident Report Form online. Following these steps will ensure that you submit all necessary information accurately and efficiently.

Follow the steps to complete the form easily and effectively.

1. Click ‘Get Form’ button to obtain the form and open it in an editor.
2. Begin with the 'Insured' section. Fill in your full name, policy number, address, postcode, and contact information. Indicate your business or occupation, including part-time roles. Specify whether you are registered for VAT.
3. Next, move to the 'Vehicle' section. Provide details about the vehicle, including make, model, cubic capacity, year of manufacture, and registration number. Describe its purpose at the time of the accident and indicate if it was carrying any goods. Note if a trailer was attached and, if applicable, the class of license needed for goods-carrying vehicles.
4. In the 'Driver' section, enter the driver's name, date of birth, address, and contact numbers. Record their business or occupation. Indicate if the driver was injured and, if yes, provide details about the nature of their injuries. Document the type and class of driver's license held, including any previous motoring offenses.
5. Proceed to the 'Insured Vehicle' part. Detail the damage sustained by your vehicle and notify whether you have obtained an estimate for repairs. Include the repair amount and the name and address of the proposed repairers.
6. Move to the 'Third Party Property' section. List the names and addresses of any third parties involved. Record the registration numbers of their vehicles, if applicable, and provide the details of any damage incurred.
7. Complete the 'Third Party Personal Injury' portion. Document the names, addresses, and nature of injuries of all persons who sustained injuries during the incident. Specify if any injured person was a passenger in your vehicle or employed by you.
8. For 'Witnesses,' indicate whether the police took the particulars of the incident. If they did, record the officer's information. List witnesses' names and addresses, marking if any were passengers in your vehicle.
9. In the 'Circumstances of Accident' section, provide the date, precise location, and time of the accident. Describe road and weather conditions, as well as the speed of your vehicle before and during the impact.
10. Fill out the 'Sketch of Accident' area by drawing a rough sketch showing vehicle positions and directions. This will aid in clarifying the accident's circumstances.
11. Finally, read and sign the declaration stating the accuracy of the information provided. Input the date next to your signature.
12. Once you have completed all sections, save the changes, and share the form with the necessary parties as needed.

Complete your Allianz Fleet Motor Accident Report Form online today.