Eligibility Success

Am I Eligible?

Looks like you may qualify for an accident replacement vehicle!

If you have prepared most of your details, complete this form and we will call you to confirm your application approval.

First name

Last Name

Phone

Address

Occupation

Date of Birth

Class of Licence

Licence Number

Licence Expiry

Vehicle Registration

Vehicle Make

Vehicle Model

Vehicle Mode

Vehicle Year

Do you have insurance on your vehicle?

Yes No

Date of Accident

Time of Accident

Weather

Date Vehicle Required

Accident Location

Is your vehicle legally drivable?

Yes No

How many vehicles were involved?

What happened in the accident?

Where on the vehicle was the vehicle damaged?

Witness Details

Were there any independent witnesses?

Yes No

Did police attend the scene?

Yes No

Repairer Details

Which repairer are you using?

Estimated days to repair

At Fault Personal Details

First name

Last name

Phone

Address

Licence Number

At Fault Vehicle Details

Vehicle Rego

Vehicle Make

Vehicle Model

At Fault Insurance Details

Insurance Company

Type of Cover

Claim Number

Is your vehicle registered for GST?

No Yes

Does anyone else drive your vehicle regularly?

No Yes

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

Attach Supporting Documents Here

Terms and Conditions

I have read, understood and accept Crash Not at Fault Privacy Policy.

I have read, understood and accept Crash Not at Fault Terms and Conditions, Mandate and Authority to Act.

Executive Partners

Trusted by leading brands

Testimonials

What our customers are saying about us

Renting a car from nova ride was a great decision. Not only did I get a reliable and comfortable vehicle, but the prices were also very competitive.

Leslie Alexander Project Manager

Renting a car from nova ride was a great decision. Not only did I get a reliable and comfortable vehicle, but the prices were also very competitive.

Alis White Project Manager

Renting a car from nova ride was a great decision. Not only did I get a reliable and comfortable vehicle, but the prices were also very competitive.

Floyd Miles Project Manager

Renting a car from nova ride was a great decision. Not only did I get a reliable and comfortable vehicle, but the prices were also very competitive.

Annette Black Project Manager

Involved in a crash that wasn’t your fault? You could be entitled to compensation. Contact us today to find out how we can help you get back on the road—quickly and hassle-free.

Eligibility Success

Am I Eligible?

Looks like you may qualify for an accident replacement vehicle!

Witness Details

Repairer Details

At Fault Personal Details

At Fault Vehicle Details

At Fault Insurance Details

Terms and Conditions

Executive Partners

Trusted by leading brands

Testimonials

What our customers are saying about us

legal policy

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