Myfleet : Operating Lease Insurance Claim Form

Motor Vehicle Information

Driver of vehicle

Was any intoxicating liquor or drugs (including prescription drugs consumed in the 12 hours preceding the accident?

Yes No

Did the driver under go a breathalyser or blood test?

Breathalyser

Yes No

Blood test

Yes No

Details of accident

Damage to insured vehicle

Was your vehicle damaged?

Yes No

Was your vehicle towed away?

Yes No

Did police attend the accident scene?

Yes No

Was other person involved in Accident?

Yes No

Are you at Fault?

Yes No

In driver's opinion, who was responsible for the accident?

Has any Claim made on you?

Yes No

Other Persons Details

Independent witness

Myfleet Lease is a wholly owned division of The Lease Company Pty Ltd

Our company is a full-service vehicle lease provider and we have been successfully providing Fully Maintained Company Car Leases and Short Term Rentals to our customers for over 15 years with a managed fleet exceeding 1000 companies.

Useful Links

Contact Us (Head Office)

Level 1, 646 Whitehorse Road
Mitcham, Vic-3132 Australia
PO Box 2221 Rangeview, Vic-3132
ABN: 48 087 669 618
Phone: 03 8813 8989
Email: info@myfleet.lease

Other Contacts

1800 Myfleet
1800 693 533
03 8813 8989 (Reception)
Sales - sales@myfleet.lease
Accounts - accounts@myfleet.lease
Enquires - info@myfleet.lease

Myfleet Operating Lease Claim Form

Useful Links

Contact Us (Head Office)

Other Contacts