• DETAILS - Please complete as much information as possible before submitting this form
  • Client Details
  • Vehicle
  • Date Format: DD slash MM slash YYYY
  • Other Party Details
  • Other Vehicle Details
  • Accident Details
  • We need this for security for any infringements or accidents in the hire car
  • Compliance Statement

    In order for us to organise a replacement vehicle for you, we need some of your details, the at fault party’s details and what happened in the accident. As long as the at-fault party is insured and we can confirm that they were at fault, we will be able to provide you with a hire car while your vehicle is submitted for repair. You are liable for the costs of the hire vehicle though Compass will try to recover your cost from the at-fault party on your behalf. In return, you must co-operate with compass if asked to do so, which may include giving evidence in legal proceedings initiated by compass in your name
  • By submitting this form I confirm that I have obtained consent from all relevant parties to disclose their information to Compass Corp and I acknowledge that Compass Corp is relying on this representation in accepting this application for a replacement vehicle.

We understand how upsetting being involved in a motor vehicle accident can be. Contact Compass today and one of our friendly staff will help with any questions you may have.