krash_rpt (Copy) | Taglinks

STEP 1 OF 5

Details

Scene

Parties

Evidence

Submit

INCIDENT DETAILS

When, where and how severe

Date of Accident*

Time of Accident*

Exact Location / Address*

📍 Tap to auto-detect GPS location

Accident Severity*

🟢
Minor

🟡
Moderate

🔴
Serious

☠️
Critical

Weather Conditions

Road / Surface Conditions

Brief Description of What Happened*

PARTIES INVOLVED

Your details + other parties

Your Details

Full Name*

ID Number

Contact Number*

Vehicle Reg

Vehicle Make/Model

Licence Disc Number

Driver's Licence No.

Your Insurer

Policy Number

Other Party / Vehicle 2

Full Name

Contact Number

Vehicle Reg

Vehicle Make/Model

Their Insurer

Their Policy No.

Witness (if any)

Witness Name

Witness Contact

PHOTO & VIDEO EVIDENCE

Capture damage, scene, plates & documents

Capture evidence while the scene is fresh. Photos and video are attached to your report.

Damage

Your vehicle

Scene

Wide shot, surroundings

Licence Plates

All vehicles

Documents

ID, licence, disc

Record / Attach Video

Walk-around, scene narration, damage assessment

Additional Notes / Voice Transcript

REVIEW & SUBMIT

Choose your insurer and send the report

Report Summary

Send Report To

My Insurance Company

Report sent to your insurer on file

OUTsurance

Direct FNOL submission

King Price Insurance

Direct FNOL submission

Santam

Direct FNOL submission

Discovery Insure

Direct FNOL submission

MiWay Insurance

Direct FNOL submission

Other Insurer

Report emailed to you to forward

I confirm that the information provided is accurate and complete to the best of my knowledge. I understand this report may be used for insurance claim purposes.

REPORT SUBMITTED

Your accident report has been successfully submitted. A copy has been sent to your insurer and to the SafeScan Emergency records system.

Reference Number

—

Screenshot or note your reference number for follow-up with your insurer.

📞 Call Emergency Services (112)

ACCIDENT REPORT

REPORT SUBMITTED