Medium

Available on

Apple Android Windows

Motor Accident Claim Form Mobile App

This mobile application lets you fill out detailed report of the accident as soon as an accident occurs. Use your favorite mobile device to quickly record specific data of: insured, vehicle, damages, driver information, passenger, witnesses and more. Capture photos and sketch a rough diagram of where and how the accident occurred. It is easy to change the content of this app to meet individual needs. Save time and eliminate any chances for errors by downloading this app.

  • Lendlease
  • The Cooperative
  • PG&E
  • oxy
  • Red Bull
  • Mirvac

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Take a peek inside the Motor Accident Claim Form Mobile App

Included Features

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Included Fields

Customize to add, remove, or edit any of the fields below.

  • Ico textbox

    Policy number:

  • Ico textbox

    Name and Occupation

  • Ico textbox

    Physical address:

  • Ico textbox

    Tel No.

  • Ico textbox

    Fax No.

  • Ico textbox

    Make and Model

  • Ico textbox

    Engine no

  • Ico textbox

    Chassis no

  • Ico decimal

    Kilometres

  • Ico textbox

    Registration

  • Ico textbox

    Value

  • Ico integer

    Year of Manufacture

  • Ico date

    Date of purchase

  • Ico camera

    Capture photo of vehicle

  • Ico textbox

    Damage to own vehicle

  • Ico textbox

    Estimate for repairs

  • Ico multiline

    Repairer's name, address and tel no.

  • Ico textbox

    Where can your damaged vehicle be inspected

  • Ico textbox

    Full Name

  • Ico multiline

    Address and Tel.

  • Ico textbox

    Occupation

  • Ico date

    DOB

  • Ico textbox

    Drivers License

  • Ico date

    Date

  • Ico textbox

    Place

  • Ico textbox

    Code

  • Ico textbox

    Full/Learners

  • Ico multiline

    State fully the purpose for which the vehicle was being used

  • ...and More!

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