Get Roadside Assistance Application For Reimbursement - Caa-quebec

Filing a Roadside Assistance Application For Reimbursement with CAA-Quebec can be a straightforward process with the right guidance. This guide will walk you through each step to ensure you complete the application accurately and efficiently.

Follow the steps to fill out the application form online.

1. Press the ‘Get Form’ button to access the application form and open it in your chosen editor.
2. Begin by entering your membership card number accurately in the designated field.
3. Fill in your personal details, including your name, first name, address, apartment number, city, province, and postal code.
4. Provide your home telephone number, business phone number, cellphone number, and email address to ensure CAA-Quebec can contact you.
5. In the vehicle section, indicate the make, model, and year of your vehicle.
6. Record the date of the service and the time (specify A.M. or P.M.) when the incident occurred.
7. Specify the exact location where the incident took place.
8. Select the type of service you received from the available options: battery boost, fuel delivery, towing, flat tire replacement, extrication, lockout service, minor mechanical adjustments, or other. If applicable, provide the distance traveled in kilometers.
9. Indicate the total minutes the patroller spent on-site during the service.
10. State whether your vehicle was towed to the nearest garage by selecting yes or no. If no, provide an explanation.
11. Mention the city where the vehicle was towed, if applicable.
12. Explain why CAA-Quebec roadside assistance was not used, if relevant.
13. Indicate whether the incident was caused by an accident. If yes, confirm whether you have submitted this claim to your insurance company for reimbursement, and provide an explanation if not.
14. If the claim concerns an accident, fill out your insurance details, including the name of your insurance company, policy number, insurance agent's name, and the insurance company's telephone number.
15. Finally, review all the information for accuracy, sign the form, and date it. Then, save your changes, and choose to download, print, or share the completed form as needed.

Complete your Roadside Assistance Application For Reimbursement online today!