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EFS
Home
Contact
Cell Captive bookings - (don't receive invoice)
Claims Handler
Email
Company
Date
INSURER DETAILS
Insured/Driver (if different)
Insured Cell Number
Policy Number
Claim Number
Car Hire Inception Date
Date of Loss
Type of Incident
Accident
Theft
Write-off
Mechanical Breakdown
Condition
Drivable
Non-Drivable
Car Group
A - Chevrolet Spark or similar- No AC
B - Opel Corsa Essentia or similar
C - Nissan Tiida Manual or similar-AC &PS
D - Automatic Nissan Tiida/Chev Aveo or similar
E - Honda Civic Automatic or similar
F - BMW 320i Automatic or Similar
K - Nissan X-trail or similar
Z - Volvo S40 or Similar
G - Mercedes C-Class or similar
J - Toyota Hilux 4x4 or similar
H - Nissan Hardbody or similar
I - Opel Zafira (or similar) - Manual 1.8lt
Y - Toyota Quantum or similar
Q - VW Crew bus TDI or similar
TF – Toyota Fortuner 4x4
KE - Mercedes E-Class or similar
PANELBEATER:
Panelbeater Name
Panelbeater Phone Number
Registration Number
Make / Model
Colour
Damage Amount
Remarks
Attach Claim Form
Send Email To
Maryke
Fransisca
Nicolene
Sune
Heilie
Lizanne
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