Request Form

Our online application form takes less than 10 minutes to complete, 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

Vehicle Details

No Yes

Are you claiming on your policy or against the at fault party?

Your Policy At Fault's Policy

Accident Details

No Yes

Click on the image below to show where your vehicle was damaged

No Yes

Witness Details

No Yes

Police Details

Repairer Details

At Fault Personal Details

At Fault Vehicle Details

At Fault Insurance Details

Final Details

No Yes
No Yes

Additional Driver Details

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By submitting this form I acknowledge that I have read and accept Compass Corp’s Terms and conditions. To view our Terms and Conditions please click here.

I Accept

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