Apply For An Accident Replacement Vehicle

We ask that you provide as much detail as possible to allow our team to fast track your request for a replacement vehicle.

If you would prefer to speak with one of our dedicated customer service specialists please contact our office on 1300 135 485.
Your Details
Name*
First Last
Phone*
Email
Vehicle Rego*
Date Vehicle Required*
Date Format: DD slash MM slash YYYY
Address
Address
Start Typing Address Line 2 City State / Province / Region ZIP / Postal Code
Licence Number
Licence Expiry
Date Format: DD slash MM slash YYYY
Class of Licence
Occupation
Vehicle Details
Vehicle Make
Vehicle Model
Vehicle Year
Do you have insurance on your vehicle?
- Yes
- No
Insurance Company
Type of Cover
Claim Number
Are you claiming on your policy or against the at fault party?
- Your Policy
- At Fault's Policy

Final Details
Is your vehicle registered for GST?
- Yes
- No
ABN Number
Does anyone else drive your vehicle regularly?
- Yes
- No
Additional Driver Details
Name
First Last
Phone
Licence Number
How did you hear about us?
Additional Information
If you have them readily available please upload your driving licence, any images of the damage and your registration papers to enable us to speed up the process of reviewing your application.
Attach Licence Pictures here
Drop files here or
Attach Supporting Documents Here
Drop files here or

Accepted file types: jpeg, webp, png, jpg, gif, svg, doc, docx, odt, pdf, txt, rtf.
First Accept*
- I have read, understood and accept Compass Corp’s Privacy Policy. To view our privacy policy please click here.
Second Accept*
- I have read, understood and accept Compass Corp’s Terms and Conditions, Mandate and Authority to Act. To view our T&C’s, Mandate and Authority to Act please click here.

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