Get Motor Vehicle Claim Form - Barubabankbbcomb

Filling out the MOTOR VEHICLE CLAIM FORM is an essential step for users needing to report an accident or loss involving a vehicle. This guide provides clear and detailed instructions on how to complete each section of the form online to ensure a smooth submission process.

Follow the steps to fill out your claim form accurately.

1. Click ‘Get Form’ button to obtain the form and open it for editing.
2. Begin by entering your personal details in the 'Name of insured' field, followed by your address, telephone number, fax number, and email. Ensure all information is accurate and up-to-date.
3. Provide your motor number, make and year of the vehicle, number of seats, registration number, and type of insurance you hold. Choose from options such as Third Party, Third Party Fire/Theft, Comprehensive, or Super Cover.
4. In the 'Details of accident or loss' section, record the date and time of the incident, the location of the accident, and the position of your vehicle on the road before and after the accident. Also, describe the road condition at the time.
5. Indicate whether the accident was reported to the police and if an officer was present at the scene. If so, provide the officer's name and number.
6. Specify if Nagico’s Road Service was called and include the time of the call. Describe where the vehicle is currently located and the purpose for which it was being used during the accident.
7. In the 'Details of driver' section, enter the driver's name, relationship to you, and contact details. Include their age, license number, driving experience, and whether they were allowed to drive and under the influence of any intoxicating substance.
8. Provide any additional details requested about the driver, including breathalyzer and blood test results if applicable.
9. Answer questions regarding damage to your vehicle, including if it was damaged, estimated costs, and deductible information.
10. Enter details of any third-party damage, including the vehicle's make, year, registration number, and repair estimation.
11. List any injured persons, providing their name, age, address, relationship to the incident, and extent of injuries.
12. Create a sketch of the accident scene that clearly illustrates the position of vehicles and relevant road areas.
13. Answer questions regarding any legal actions such as writs sent to the policyholder, and provide remarks or statements relevant to the claim.
14. Finally, sign and date the form, confirming the accuracy of your statements and understanding the consequences of any false information.
15. Once all sections are completed, save your changes. You may choose to download, print, or share the completed form as needed.

Start filling out your MOTOR VEHICLE CLAIM FORM online today to ensure your claim is processed efficiently.