Tel :
 
011 783 5013
Fax :
 
011 883 8477
Email :
 
info@royaladmin.co.za


Claims Handler

Date
Authorised by
Telephone Number
Email


Insured Details
Insurer
Claim Number
Accident Date
Insured Name
ID No.
Driver
Contact Number
Vehicle Type
Reg No.
Type of Incident


Rental Details
Car Group
Date Hired From
Total Days Required
Max. Days Allowed  
Panelbeater Name  
Panelbeater Contact Number  
Remarks