Complete the following form with information about the policy and insured details.

Provide a detailed description of the incident.

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Helpful Information
Please describe what happened, including the location, date and time, details of any damage, whether airbags were deployed, and if any fluids were leaking.

Format: MM/DD/YYYY HH:MM (24-hour)
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Location: Not set
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Confirm the incident type, cause, and liability assessment.

Please provide a complete incident description including damage details, date/time, location, airbag status, and fluid leakage information to view damage assessment and liability details.
Incident Classification
Damage Assessment
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Based on the incident description, the following policy points are relevant:

Incident Summary:

"The driver drove into rear of a parked car while making a delivery. There is light damage to the front bumper. The incident happened on 20th March at 12pm near James Street. No signs of fluids leaking and the airbags were not deployed."

Applicable Coverage
  • Third party liability

    Third party indemnity for damage to the parked car.

  • Damage to own vehicle

    Cover for front bumper damage (comprehensive policy).

  • Approved repairer service

    Available for the bumper repair.

Potential Limitations
  • Business use verification

    Confirm vehicle use is within permitted business purposes.

  • Driver license check

    Verify driver has valid license for the vehicle.

Covered
This claim is covered under the policy
Coverage Explanation

The incident is covered under the policy for the following reasons:

  • The "damage to own vehicle caused by accidental damage" is included in the policy and no exclusions are applicable.
  • Third party liability for the parked car is covered under the third party indemnity provision.
  • The vehicle was being used for business purposes (making a delivery) which is within the permitted use.
  • The light damage to the front bumper will be covered for repair under the comprehensive policy.
  • No airbag deployment or fluid leaks indicate the damage is likely minor and within the scope of covered repairs.

Add information about all occupants in the vehicle at the time of the incident.

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Add information about any third parties involved in the incident.

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Add information about any witnesses to the incident.

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Upload any files that support your claim such as CCTV/Dashcam footage, photos of damage, tachograph data, or any other relevant files.

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Is the vehicle repairable or total loss

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Please provide any additional information or notes that may be relevant to the claim.

Please read and confirm the declaration below before submitting your claim.

I declare that the information provided in this claim form is true and accurate to the best of my knowledge. I understand that providing false or misleading information may result in the claim being rejected and could lead to legal consequences.

I authorise the insurance company to collect, use, and disclose personal information as necessary for the purposes of investigating and settling this claim.