Apply Online with our Quick Application

Please fill in the following information. If you would like to do this over the phone or have any questions please call us on 1300 22 67 67. Once we have checked eligibility we will get back in touch to advise. When approved, we may need to get some more information before providing the replacement vehicle.

or Apply Online with our Full Application

Please use the following full application form if you have all the details regarding the accident. If you would like to do this over the phone or have any questions please call us on 1300 22 67 67. Once we have checked eligibility we will get back in touch to advise.