• ACCIDENT & INSURANCE CLAIM FORM

    I confirm that the information I am providing in this form is true and correct to the best of my knowledge and accurately reflects my current understanding of the accident.

    I understand that whether I was at fault is determined by Subhan Pty Ltd and/or its insurer, based on the information and evidence I provide in this form — not by my own opinion or belief. Any opinion I have expressed about fault is my own view only and does not, by itself, constitute a final legal determination of liability.

    I acknowledge that I am providing this information because I am required to do so under the Vehicle Renting Agreement and Terms and Conditions I signed at pickup, including my obligations to report the incident promptly, provide full and accurate third-party details, and cooperate with the claims process within the required timeframes.

    I understand that Subhan Pty Ltd, its insurer, investigators and legal representatives may rely on this declaration, my responses, and any supporting evidence when assessing the accident, determining liability, and pursuing or defending any insurance or recovery claim, including in legal proceedings if necessary.

    I understand that providing false or misleading information, or any incomplete, delayed or inconsistent information, or a failure to cooperate, may be treated as a breach of the signed contract, may affect any insurance claim, and could have legal consequences.

    I confirm this declaration is true and correct to the best of my knowledge, and understand I cannot later claim I was unaware of my obligations under the contract I signed.

    1. You And Your Vehicle Details

    2. Third Party — Most Important Details

    If another vehicle is involved, collect as much of this as safely possible. A clear photo of the licence, registration plate and insurance details is better than leaving the information blank.

    IMPORTANT — THIRD PARTY ONLY

    The questions below relate to the other driver/person and vehicle involved in the accident.

    Do NOT upload your own driver licence, the rental vehicle's registration, or your own insurance details in this section.

    Please select all third-party information you obtained at the accident scene.

    Max 5 photos can be added.

    3. What Happened?

    : :
    Sample accident sketch examples

    Drawing of Accident

    Please either draw a diagram of accident or upload a photo of drawing of accident - sketch vehicle positions, direction of travel and road/intersection:

    Max 5 photos can be added.

    4. Responsibility — Keep These Two Answers Separate

    Please make sure you explain us properly. lane position, traffic signal/sign, direction of travel, impact point etc

    Max 5 photos can be added.

    5. Evidence

    Max 5 photos can be added.

    Max 5 photos can be added.

    Include names, contact details, locations and anything else you know. The more complete the information, the better we can assess and process your claim.

    6. Police / Hit-and-Run

    other vehicle rego / description / direction

    Were there any witnesses to the accident?

    Max 5 photos can be added.

    This can include road rules/signs, impact location, witness comments, photos, CCTV, dashcam, police information, or why you believe the third party was responsible