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Claim

Motor Accident Claim form

Vehicle Details


Description of Damage to Own Vehicle


Driver Details


Passengers (Insured Vehicle)

If any passengers in the insured vehicle were injured, complete this section.



Other Parties


Other Vehicles


Property Damaged Other Than Vehicles


Witness to the Accident


Accident Details


Declaration

A sketch of the accident will have to be emailed to Dynamicz in order for your claim to be submitted. Other Documents Required (Passport/ ID, Drivers License, Case Number, Photos if Applicable)