Third Party Claim From NameSurnameContact NumberEmailIs the Third Party Insured or UninsuredInsuredUninsuredInsurerSantamOutsuranceMiWayKing PriceOld MutualOther Insurer (Please specify)Other Insurer (Please specify)Third Party NameThird Party SurnameThird Party Contact NumberThird Party EmailThird Party ID NumberDid the third party drive into theRear End (back of your car)Stationary Vehicle (Was your car stationary)Parked VehicleChain CollisionsAccident Report Upload (If on hand) 0% File name: File size: No file selected Add File TitleAlternative TextLeave empty if the image is purely decorative.CaptionDescriptionUpdate Image Short Description of the accidentWas there any witnessesYesNoWitness NameWitness SurnameWitness Contact NumberWitness EmailWhen did the accident happen? (Date and Time) Where did the accident happen? Damages to vehicle in RandsPhotographs of your damages1. One Frontal 2. One of the left side of your car 3. One of the right side of your car 4. One of the rear. 5. One Photograph just of the damages. Add Image TitleAlternative TextLeave empty if the image is purely decorative.CaptionDescriptionUpdate Image 0%
