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HEAD OFFICE MOMBASA BRANCH Equatorial Fidelity Center Ward Lane Wetlands P.O. Box 47435-00100 NAIROBI Tel: 4225000 Fax: 4445699 Email: info fidelityshield.com Website: http://www.fidelityshield.com

How to fill out motor accident claim form

How to Fill Out a Motor Accident Claim Form:

1. Start by gathering all relevant information about the accident. This includes the date, time, and location of the incident, as well as details of the other party involved, such as their name, contact information, and insurance details.
2. Make sure to collect any supporting documentation, such as police reports, photographs of the accident scene, and witness statements. These documents can help strengthen your claim and provide evidence for your case.
3. Begin by entering your personal information accurately in the designated sections of the form. This typically includes your full name, contact details, and driver's license information.
4. Next, provide details about your vehicle, including its make, model, year, and license plate number. You may also be required to provide information about the other vehicles involved in the accident.
5. Describe the circumstances and nature of the accident in the appropriate section. Be sure to provide a clear and concise account of what happened, including any contributing factors or road conditions that may have played a role.
6. If you sustained injuries in the accident, include a detailed description of your injuries in the relevant section. Be thorough in documenting the extent of your injuries and any medical treatment you have received or anticipate needing as a result.
7. If you had any passengers in your vehicle at the time of the accident, provide their names and contact information in the appropriate section. This helps establish the presence of witnesses and potential additional claims.
8. Pay close attention to any additional sections or questions on the form that may require your response. These may include inquiries about your insurance coverage, previous accidents, or any legal actions related to the incident.

Who Needs a Motor Accident Claim Form:

1. Individuals involved in motor accidents who wish to file an insurance claim or seek compensation for damages.
2. Anyone who sustained injuries or property damage in a motor accident and intends to pursue a legal claim against the responsible party or their insurance company.
3. Motorists who are required by law or insurance policies to report accidents and file a claim, even if they are not at fault.

In summary, filling out a motor accident claim form requires gathering all necessary information and documenting the details of the accident thoroughly. This form is typically needed by individuals involved in motor accidents who are seeking compensation for damages or pursuing legal claims.

For pdfFiller’s FAQs

What is motor accident claim form?

The motor accident claim form is a document used to report an accident involving a motor vehicle and to make a claim for compensation.

Who is required to file motor accident claim form?

The driver or owner of the motor vehicle involved in the accident is required to file the motor accident claim form.

How to fill out motor accident claim form?

To fill out the motor accident claim form, you need to provide details about the accident, including the date, time, location, and parties involved. You also need to provide information about the damages and injuries resulting from the accident.

What is the purpose of motor accident claim form?

The purpose of the motor accident claim form is to document the details of the accident and to make a claim for compensation for damages and injuries.

What information must be reported on motor accident claim form?

The motor accident claim form must include details about the accident, such as the date, time, location, and parties involved. It should also include information about the damages and injuries resulting from the accident.

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