Get Motor Vehicle Claim Form (pdf) - Zurich

Filling out the motor vehicle claim form is an essential step in reporting an accident and seeking compensation. This guide provides comprehensive instructions on completing the Zurich claim form efficiently and accurately, ensuring that all necessary information is included.

Follow the steps to complete your motor vehicle claim form online.

1. Click the ‘Get Form’ button to access the motor vehicle claim form. Once the form is available, open it in your preferred editor.
2. Begin by entering your policy number and client reference number at the top of the form. Ensure that all details are accurate and applicable to your situation.
3. Provide your personal information including your name, address, phone number, and occupation. Indicate if you are the sole owner of the vehicle and confirm the vehicle's purchase date. If applicable, mention any interested parties.
4. In the ‘Insured vehicle’ section, fill in essential details like the make and model, registration number, engine number, color, and any modifications. Record the intended journey's details including time, place, and destination.
5. Complete the ‘Driver’ section by providing the driver’s surname, name, address, date of birth, and current driver's license number. Answer questions regarding past traffic convictions and driving hours before the accident.
6. Fill out the ‘Damage to insured vehicle’ section, indicating whether damage occurred, if the vehicle was towed, and if repair quotes have been obtained. Attach any necessary documentation.
7. Describe the accident in detail under the ‘Accident details’ section. Include the date, time, location, and how the incident occurred. Provide a diagram if needed and note any witnesses.
8. Answer the ‘Police questions’ section regarding police attendance and report details, and if they indicated who was at fault.
9. Lastly, provide details about any damage to other vehicles or property and any personal injuries caused by the accident.
10. Review and declare that the information is accurate. Sign the form by providing your name and the date before submitting it to Zurich. You can also save changes, download the form, or print it as needed.

Complete your motor vehicle claim form online now to ensure timely processing of your claim.