Accident Claim Form Template for South Africa

1. Vehicle Damage Report: Detailed description of vehicle damage - used only when vehicle damage is part of the claim

2. Third Party Insurance Details: Insurance information for other involved parties - used when other parties have insurance

3. Employer Information: Employment details and loss of earnings calculation - used when claiming for loss of income

4. Medical Aid Details: Medical aid scheme information - used when claimant has medical insurance

5. Dependent Support Claim: Details for claims involving support of dependents - used in cases of death or severe disability

1. Schedule A - Medical Records: Copies of all relevant medical reports, prescriptions, and treatment records

2. Schedule B - Expense Documentation: Copies of all receipts, invoices, and proof of expenses related to the claim

3. Schedule C - Photographic Evidence: Photographs of injuries, damage, and accident scene

4. Schedule D - Police Documentation: Copies of police reports, statements, and related official documents

5. Schedule E - Witness Statements: Detailed written statements from witnesses

6. Appendix 1 - Medical Assessment Forms: Standardized medical assessment forms completed by healthcare providers

7. Appendix 2 - Loss Calculation Worksheets: Detailed calculations of financial losses being claimed