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Claim

At RideCover Australia, we understand that accidents and unexpected incidents can happen. That’s why we’ve streamlined our claims process to make it as quick and stress-free as possible.

Our Claims Portal is designed to help you file and track your claims with ease. Whether it’s for your rideshare vehicle or fleet coverage, we’re here to guide you every step of the way.

Simply log in, provide the necessary details, and let our dedicated team handle the rest. Protecting your vehicle and getting back on the road has never been easier. Ride with confidence—RideCover has you covered!

Accident Claim Form

Important Notes:

Make sure that you give us all the details about your accident.
Send us all quotations which you have recived for repairs.
Be ready to give any information and documents that we may ask for.
Page 1 to be completed by the member.
Page 2,3 & 4 by the driver of the vehicle.
Declaration on page 4 to be signed by the member and the driver.
IF INSUFFICIENT SPACE please add additional sheets.

The issue of this Form on Receipt of Notice of an accident is no admission of liability and it is issued without prejudice.

Member Details

Member's Details

First Name*

Middle Name

Last Name*

Address*

State*

Postcode*

Company Name

Contact No.*

Email ID*

Vehicle Details

Member's Vehicle

Rego No.*

Make*

Model*

Year*

Engine No.*

Accident Details

The Accident

Accident Photos

The Accident Photos

*Maximm 20 images are allow to add within 10Mb of size. jpg & png format are accepted

Driver Details

Details of Driver or Person in Charge of Rideshare

Driver's Name*

Date of Birth*

Driver's Address*

State*

Postcode*

Driver's Contact No*

Email ID*

Current Licence No.*

No. of Years

Current Rideshare Authority Licence No.*

Have you had any traffic charges or convictions of a motor offence in the past 5 Years?

Other Party's Details

Driver's Name*

Phone No*

Address*

Postcode*

Date of Birth*

Driver's Licence No.*

Rego No*

Make of Vehicle*

Year of Manufacture*

Colour*

Name of Reg. Owner*

Phone No.*

Address*

Postcode*

Insurance Company Details

Policy No.

Claim No.

Email ID

Witness Details

Name of Witness

Phone No.

Email ID

Address

Police Details

Did a police officer make record of the facts?*

Was the driver of the member vehicle required to undergo a breath test or analysis.?*

Your Vehicle Rideshare

At which repairer can the vehicle be inspected during office hours?

Is the vehicle drivable?*

Was the vehicle towed?*

Have you obtained quotes for repairs?*

AMOUNT

Important Note:No repairs to damaged vehicle are to be made until authorised by the company.

Declaration

To be Completed by Driver

I of Do Solemnly and sincerely declare that the details and answered queries above are true and correct and promise to assist RCA in every way in dealing with the claim.

I/We declare that no information has been withheld which may affect the claim.
I/We confirm that RCA may at own discretion instruct any solicitor to act in our common interest in respect of any claim or processdings as RCA may consider desirable in our common interest or in RCA's own interest.
I/ We hereby claim indemnity under my/our policy in respect to this accident or loss and authorise the repairer apporved by RCA to carry out repairs and to accept the appointment of any assessor instracted by RCA.

Date

Accept terms & Conditions

To be Completed by the Owner

I of Do Solemnly and sincerely declare that

The particulars contained in the foregoing claim form relating to the driver are true and correct to the best of knowledge and belief and promise to assit RCA in every way in dealing with the claim.
I/We declare that no information has been withheld which may affect the claim.
I/We confirm that RCA may at own discretion instruct any solicitor to act in our common interest in respect of any claim or processdings as RCA may consider desirable in our common interest or in RCA's own interest.
I/ We hereby claim indemnity under my/our policy in respect to this accident or loss and authorise the repairer apporved by RCA to carry out repairs and to accept the appointment of any assessor instracted by RCA.

Date

Accept terms & Conditions

Claim

Accident Claim Form

Important Notes:

Member Details

Vehicle Details

Accident Details

Accident Photos

Driver Details

Other Party's Details

Witness Details

Police Details

Your Vehicle Rideshare

Declaration

To be Completed by Driver

To be Completed by the Owner

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