The Hire Car Company Ltd

	Why Choose us?
	How to Claim
	About our Company
	Contact us
	How to find us
	Home


Please make a claim using the form below (please complete all details)

Title:
First Name/s:
Surname:
Address:
Post Code:
Date of Birth:
Telephone home:
Telephone work:
Email Address:
Employers name:
Employers Address:
Occupation:
National insurance no:
Are you VAT registered:
Accident Details
Date of accident:
Time of accident:
Location:
Circumstances:
Make of your vehicle:
Model:
Registration:
is the vehicle driveable?
Your insurance Company:
Your insurance broker:
Details of other party:
Name:
Address:
Telephone:
Insurance details:
Policy no
Vehicle make:
Model:
Registration:
Witness details:
Witness name (if any)
Address:
Telephone



	Click here to fill out an accident claim form online......



	Click here see our how how non-fault accident works.....



Regulated by the Ministry of Justice in respect of regulated claims management activities It's regulation is recorded on the web site www.claimsregulation.gov.uk

Finally please read the declaration below before submitting your claim

I declare that these details are true in every aspect and I authorise The Hire Car Company Ltd to instruct their nominated solicitors to act on my behalf and if appropriate issue legal proceedings. I irrevocably instruct The Hire Car Company Ltd to discharge my liabilities in relation to any credit repair, credit hire or storage and recovery charges from any damages received, direct to the appropriate party(s).

I authorise The Hire Car Company Ltd to disclose any information relating to my claim to any party(s) whom they feel appropriate.

Please note : You may be asked to submit a further hand drawn sketch at a later date.

I confirm I have read and understood the above and agree to the conditions

site design by imagemaker