If your rental vehicle has been involved in an accident or incident, please provide the details below so our team can assist you as quickly as possible.

If you were involved in an incident with an East Coast Car Rentals vehicle but are not the renter, please complete this form and include as much detail as possible.

  • Photos of the damage (if available)
  • Date, time, and location of the incident
  • A description of what happened
  • Details of any other parties involved (if applicable)
  • Witness details (if applicable)
  • Police reports, quotes or invoices (If applicable)

Your Details

This field is required
(Include country code)
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Preferred contact method so the team can discuss your claim further. (select one) *required

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Your booking details

(**can this be a lookup including 3rd party bookings)

Type of Incident

If other, please details below.

Incident Information

If you are not the renter, please include the vehicle registration (if known) and details of the incident. This field is required
Please provide the approximate time of the incident (e.g. 2:30pm). If unsure, an estimate is okay. This field is required
(**can we add a map integration?) This field is required
Please describe what happened, including how the damage occurred. This field is required

Were there any other parties involved? *required

This field is required
(include the driver's full name, contact number, registration and insurance company)

Upload Supporting Documentation

(Accepted file types: PDF, WordDoc, png, jpg)

Thanks for submitting your claim. Our team has received your information and will review the delays shortly.

If we need any additional information, we’ll be in touch.

Please allow up to 7-10 business days for initial review.

Kind regards,
Team ECCR