Arrange Inspection

An instruction to inspect a vehicle may be given by completing the below form. Alternatively, you can contact our head office during normal office hours (Monday-Friday, 9am-5pm).

If credit arrangements are not already in place please contact our head office to make the appropriate arrangements.

Company Name

Company Address

Post Code

Tel No

Fax No

Contact Name

Email Address

Policy/Claim No

Insured's Name

T/P Name

T/P Address

T/P Tel No (Home)

T/P Tel No (Work)

T/P Tel No (Mobile)

Cover

Excess

VAT Registered

Accident/Theft Date

Sch'd/Agreed Value

May We
Authorise Repairs
On Your Behalf?

Yes
No

Vehicle

Registration No

Is The Vehicle
Currently In Use?

Yes
No

First Estimate

Tel No

Recovery Charge

Labour Charge

P&M Charge

Second Estimate

Tel No

Recovery Charge

Labour Charge

P&M Charge

Comments