With this service you can provide all the information required by insurance companies regarding your traffic accident. If there are other parties involved in the accident, you'll be able to provide their information also.
Please find additional information on using this service and the secure handling of your information on the right side of this page.
If you have not caused the accident, you are possibly entitled to a compensation for the costs of using a replacement car. In addition to your accident information, you can fill out account of need for vehicle in order to apply for compensation of costs from the use of a replacement car after a traffic accident.
Please provide at least the name of the driver and the vehicle's registration number of the other party. Other fields are not mandatory but we recommend providing all information available to you at the time of filling out this accident statement.
The insurance company covers the costs caused by the use of a courtesy car as outlined below, if the use of the car is
justified and necessary for work or business or if being without a car causes inordinate disadvantage. The need account
must be provided on this form or the same information must be provided in another account.
The size and value of the courtesy car is not to exceed those of your own vehicle.
The lessee is responsible for paying the renting fees unless the insurance company says it is responsible for them.
Establish compensability with the insurance company.
On this page you can check that all the infomation you have given is correct. If you find any errors, please use the Next and Previous buttons at the bottom of the page in order to navigate to the information you wish to correct.
Attention! Do not use your browser's Back and Forward buttons when navigating between stages of this form.
Finally, accept the Terms and Conditions and press 'Submit Accident Declaration' at the bottom of this page.