Lodge an Insurance Claim Fill in the form if you need to lodge an insurance claim. Name:* Surname: Email:* Telephone Number:* City / Town and Suburb Vehicle Make & Model Name of Insurer (if applicable) Please tell us about your repair Please Provide some photos of the damage, as well as one photo of the car's license disc. (for paint colour). No larger that 1mb per image please. Please be patient with your submission, it may take a while depending on the size of the image files. Attach photo 1 Acceptable file types: doc,docx,pdf,txt,gif,jpg,jpeg,png.Maximum file size: 4mb. Attach photo 2 Attach photo3 Attach photo 4 Attach photo 5 Attach photo 6 Attach photo 7 Attach photo 8 Your information is 100% confidential.