Rental Vehicle - Collision/loss And Personal Effects Claim Form printable pdf download

Rental Vehicle - Collision/loss And Personal Effects Claim Form

RENTAL VEHICLE – COLLISION/LOSS AND PERSONAL EFFECTS CLAIM FORM

YOUR CLAIM MUST BE FILED WITHIN 90 DAYS OF INCIDENT.

Step 1:

Complete and sign the attached claim form.

Step 2:

Please provide the following documentation, if applicable, and check the appropriate box for each item

included:

Copy of your credit card statement showing the final rental charges.



Copy of the original opened and closed car rental agreement (front and back) including rental agency



Terms and Conditions.

Copy of the car rental company’s Accident Loss/Damage Report Form.



Copy of the final itemized repair bill.



A copy of the driver’s license of the person who was driving the car.



Receipts for any repairs, which you may have already paid, if applicable.



A photograph(s) of the damaged vehicle and/or item(s), if applicable.



Police report and police incident number and report from other appropriate authorities for collision and



damaged/stolen items.

If claiming for loss-of-use, a copy of the rental agency’s daily utilization log from the date the car was



not available for rental to the date the car became available to rent.

If claiming for Personal Effects, please also include the following:



 Photocopy of your personal insurance declaration page showing deductible.

 A copy of the final disposition of any claim(s) you submitted to any other insurance company

(including documentation of any declined claims).

 Copy of the original itemized receipt for items claimed

FREQUENTLY ASKED QUESTIONS:

1. Why do I have to report my accident to the police?

Most rental agreements and jurisdictions require that you report your accident. If the police will not visit the accident site

due to lack of injury or damage, collision reporting centres can supply you with an accident report.

2. What if I am told I cannot obtain a police report but my insurance company can?

In most cases you will be able to access a copy of the police report unless the investigation of the accident is not

completed or the report itself is not completed. We can request this report if you are having difficulty obtaining it however

the cost will be deducted from your claim as it is an ineligible expense. In most cases it is cheaper for the insured to

obtain the report.

Rental Vehicle - Collision/loss And Personal Effects Claim Form