Accident report

Make sure everyone is safe and call 911 in an emergency. Then send us the details below and the team at your rental location will follow up.

Prefer paper? Download the printable form and send it to your rental location - contact details are at the bottom of this page.

Renter information

Name

Phone (preferred contact #)

Street address

City

Postal / ZIP code

Vehicle use

BusinessPersonal

Operator (driver)

Insurance company info

Rental vehicle

Plate

Province / state

Make / model

Rental agreement #

Rental location

Incident details

Date of incident

Time of incident

City / province where it happened

Were police called?

YesNo

Other vehicles involved?

YesNo

Was anyone injured?

YesNo

Incident description

Rental Vehicle Struck In RearOther Vehicle(s) Struck In RearIntersection CollisionParking Lot Collision / IncidentParked & UnoccupiedTireGlassOther

Please provide more details

Completed by

Name of person completing this form

Rental location contacts

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