LLF Members - Register Your Accident Details

 

We strongly advise for as many photos and videos as possible to be taken at the time of the accident to assist with insurance enquiries. These will be requested from you later in the process once we have received your accident details from the form below.

Please provide us with the details of your accident:

YOUR DETAILS
Name *
Name
Address
Address
ACCIDENT DETAILS
Date of Accident
Date of Accident
Time of Accident
Time of Accident
Location of Accident
Location of Accident
THIRD PARTY DETAILS (other driver)
Their Name
Their Name
Their Address
Their Address
WITNESS DETAILS
Witness Name
Witness Name
Witness Address
Witness Address
IF THE POLICE HAVE ATTENDED