Claim Notification

Home Claim Notification

    Participant Information

    Participant's Name:

    *

    Phone Number:

    *

    Vehicle Information

    Plate Number:

    *

    Brand:

    *

    Model:

    *

    Year of Manufacture:

    *

    Chassis Number:

    *

    Engine Number:

    *

    Accident Details

    Date of Accident:

    *

    Time of Accident:

    *

    Location of Accident:

    *

    Name of the Driver (During the accident):

    *

    General Clarification about the Damages:

    *

    How the Accident Occurred:

    *

    Detailed Clarification about the Damaged parts:

    *

    Repair Shop Details

    Workshop Name and Location:

    *

    Telephone Number of Workshop:

    *

    Attach Supporting Documents


    Required: Please upload your valid and active car license and private license, and upload a police report if needed. The police report is mandatory in case of severe accidents such as:

    • Damages to the whole side of the vehicle

    • Accidents involving airbag triggering

    • Accidents related to theft, fire, or third-party liability


      • This notification cannot be considered an approval for proceeding with the repair before technical inspection and approval for reparing assessment from the company; our team will contact you soonest.

    Attach Files:

    *