Tel :
  011 282 3400
Fax :   011 783 1026
Email :   info@gagecarhire.co.za


Claims Handler

Date
Authorised by
Telephone Number
Email


Insurer Details
Insurer
Claim Number
Insured Name
Driver
Contact Number
Type of Incident


Rental Details
Car Group
Date Hired From
Total Days Required
Max. Days Allowed  
Remarks


Panelbeater
Panelbeater Name
Panelbeater Contact Number
Quotation Number
Damaged Vehicle Reg Number