Submit your damage report

Please fill in this form to submit your damage report.

Car details

Number plate

Make

Model

Year

Reference (Claim no/Policy no/ID)

Date of occurrence

Damage Report

Photos

Please add at least three photographs of your damage. Make sure to include two detailed photos from different angles, and one overview photograph that clearly shows all damaged and surrounding parts.

Overview photo

Take this photograph from a distance. Make sure that the photo clearly shows the damage and its surrounding parts.

Detailed photo

Take this photograph at eye level, while keeping a distance of approximately one metre.

Detail photo (another angle)

Take this photograph from another angle, while keeping a distance of approximately one metre.

License disk Photo

Take a clear photo of your license disk.

Damage description

Please give a detailed description of your damage.

Include at least:

The location of the damage (e.g. left front door, left side skirt) and the number of damaged parts.
The type of damage (e.g. scratch, dent or a broken part).
The size of the damage (e.g. 5 cm).

Contact details

Please fill in your contact details and the postcode of the area wherein you would like your car to be repaired.

Name

Phone number

Address of repair area

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