AccidentReportingFormSingleIncident - Tidan Truck & Car Rentals 0431-747-900

There has been an unfortunate incident and we are here to assist you. Tidan Truck and Car Rentals uses this form to capture accident information which will be used to launch an accident claim for the insurance. It is important to fill this form truthfully and to the best of your knowledge in order to facilitate speedy resolution of this claim.

Full Name*

Who was driving Tidan Truck Rental Vehicle?*

Drivers License Number of the person who was driving the Tidan Truck*

Please take a photo of your driver's license and upload:*

Did the driver drink alcohol or non-prescription drugs (excluding over the counter medication) in the 24 hours before the incident?*

E-mail

Phone Number*

When did the accident occur?*

When did the accident occur?

What time did the incident occur?

Has the driver held their drivers license for more than 2 years? (Doesn't include time as a Learner Driver.)*

Who was at fault?*

Can you please explain briefly what happened?*

Upload Photo 1 of Tidan's Truck Damage:

Upload Photo 2 of Tidan's Truck Damage:

By selecting 'Submit', I, the individual identified as the representative in this submission, hereby acknowledge my understanding that upon submitting this form, in accordance with the information provided therein, no physical signature is necessary for this Submission. Furthermore, I am aware that by electronically submitting this Accident Reporting Form, I am automatically providing an electronic signature for Tidan Truck and Car Rentals' Accident Reporting Form in compliance with the Electronic Transactions Act 1999 (Cth) and relevant state and territorial legislation.