Claim Application

Provide the name of the individual or company that owns the vehicle.
This field is required.
Owner Address
Provide the complete address of the owner of the vehicle.
This field is required.
This field is required.
This field is required.
This field is required.
This field is required.
Country
Enter the year of manufacture of the vehicle.
This field is required.
Example: Toyota, Ford, Honda.
This field is required.
Example: Hilux, Civic, Focus.
This field is required.
Enter your vehicle's registration number or number plate.
This field is required.
Found in the top right corner of your licence.
This field is required.
Licence State
Select the state where the licence was issued.
This field is required.
Enter the full name of the at-fault driver.
This field is required.
At-Fault Driver Address
Provide the complete address of the at-fault driver.
This field is required.
This field is required.
This field is required.
This field is required.
This field is required.
Country
Please provide a contact number where the at-fault driver can be reached.
This field is required.
Found in the top right corner of the at-fault driver's licence.
This field is required.
Enter the year of manufacture of the at-fault driver's vehicle.
This field is required.
Example: Toyota, Ford, Honda.
This field is required.
Example: Hilux, Civic, Focus.
This field is required.
Enter the registration number of the at-fault driver's vehicle.
This field is required.
Specify the location of the accident.
This field is required.
Please write a detailed description of the accident including the date, time, location, and step-by-step events.
This field is required.
Enter the name of the insurance company, e.g. RACV, AAMI.
This field is required.
Example: M0123456789.
This field is required.
Is Your Car Driveable?
Select whether your car is driveable post-accident.
This field is required.
Please confirm that all the provided information is accurate.
This field is required.
Please confirm that you have understood and accepted the terms and conditions.
This field is required.
Please confirm your authorization for Car Rentals Near You to manage your claim.
This field is required.
Type your full name here to sign this application.
This field is required.

Follow our simple criteria to help get the process started for your insurance car hire

If you’re going through insurance car rentals, we’ll need to make sure we have all the necessary documentation to help secure your ‘not at fault’ replacement vehicle in the best timeframe possible.

🖋️ Not At Fault Claim

Phone No

+61 413 206 839

Address

Melbourne, Victoria, Australia

Working Hours

Mon-Sat: 9AM-5PM

Sunday: Closed

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