Not at Fault are the accident replacement car specialists, supplying courtesy cars completely free of charge to people involved in road accidents in which they were not at fault. 

Not at Fault are the accident replacement car specialists, supplying courtesy cars completely free of charge to people involved in road accidents in which they were not at fault. 

Application Form

If you would prefer to download our application form and fax it to us please feel free.

 

Click here To Download The Application Form

 

Please fill it out with as much detail as possible. We are able to process applications faster if they contain all the required information.

 

When ready just fax it through to 1300 122 740. One of our reservations team members will be in contact once your application is processed. Drivers must be 21 years or older.

Online Claim Form
Panel Shop
Contact
Phone
Repair Start Date

Is the clients car:

Driveable
Non Driveable
Total Loss

Your Car

Driver

Name *
Insurance Company
Mobile *
Claim Number
Address
State
Postcode
Email *

Vehicle Details

Make
Model
Year
Rego No.

Owner

Name
Insurance Company
Mobile
Claim Number
Email

Other Car (at fault party)

Driver

Name *
Insurance Company
Mobile
Claim Number
Address
State
Postcode
Email

Vehicle Details

Make
Model
Year
Rego No. *

Owner

Name
Insurance Company
Mobile
Claim Number
Email

Accident Details

Accident Date
Accident Location
Detailed Discription of Accident
Send diagram or drawing by email

Watch out for the diagram I send by email

Has the driver or passanger been injured
Yes
No
 
* Required fields