Diverse Claim Form

How it works

Five minutes. That's it.

01You and your carName, contact and licence photo
02What happenedWhen, where, and the other driver's details
03PhotosStraight from your phone
04Sign onceThen we take over

Have your licence handy, and the other driver's details if you have them.

Your details

First name Last name Mobile Email

Company only if a business owns the car

Your driver's licenceFront and back. Tap to take a photo.

Vehicle

Rego Make and model

Your own insurer if you have one

Can it be driven?

Yes No, it needs a tow

Need a replacement car while it's repaired?

Yes please No thanks

The accident

Date Time roughly

Where What happened

Police event number if attended Witness name and number

At fault party

Name Mobile Their rego Their car Their insurer Their claim number if known

Did they say it was their fault?

Yes, in a text Yes, verbally No, or not sure

Their licenceIf they let you photograph it

Their carShow the number plate and any damage

Evidence

Damage photosAdd as many as you like

Scene, dashcam or textsOptional

Authorities

Diverse AutobodyRepairer

We repair your car and claim the cost from the at fault driver's insurer.
The insurer pays us directly.
Let your own insurer know about the accident if your policy asks you to.

Read full document I agree to the Diverse Autobody authority

Halim LegalLegal partner

Halim Legal can manage the recovery of your claim if we need them.
Covers correspondence, documents, liability and repair costs.

Read full document I agree to the Halim Legal authority

NDRARecovery partner

NDRA can recover repair and hire costs for you if we need them, including legal proceedings.
If you're later found at fault, you're liable for repair, hire and NDRA costs.

Read full document I agree to the NDRA authority

Full name

Draw with your finger

Your information is used only for this claim and shared with the at fault driver's insurer and, if needed, our legal partners. A copy of everything you sign is emailed to you.

Thank you, Alex.

A copy of your signed documents is on its way to your email. We'll contact the other driver's insurer today and keep you updated by text.

01We request liabilityUsually within one business day
02We book your repairAs soon as liability is confirmed
03You collect your carWe handle the rest