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TatilMotor Claim Request

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20.05.2014

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Latest News16th, May 2014

Back Claim Request

ClaimType of Claim

Accident Glass Fire Theft Weather

Lorem Ipsum is

simply dummy

typesetting

industry. Lorem

Ipsum

Lorem Ipsum is

simply dummy

typesetting

industry. Lorem

Ipsum

Lorem Ipsum is

simply dummy

typesetting

industry. Lorem

Ipsum

Lorem Ipsum is

simply dummy

typesetting

industry. Lorem

Ipsum

Lorem Ipsum is

simply dummy

typesetting

industry. Lorem

Ipsum

Share

Search Welcome, J W


Claim

Personal Details

Incident Details

Policy Details

Back Claim Request

Vehicle & Property Details

Type of Claim > Claim Format

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Search Welcome, J W


Claim

Personal Details

Back Claim Request

Request > Claim> Personal Details

EditSave

Name * Postal Address*

Email address *

Occupation

Telephone number*

Vat Registration Number (if Any)

Telephone number

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Menu Back Claim Request

Claim

Vehicle Details

EditSave

Owner Vehicle Number* Vehicle Manufactured On*

Driver’s Name

Any Previous Accident *

Driver Date of Birth*

Damaged Property Details

Permit Number *

Registration Name*

Select

Attach Accident Picture

Attach files

Request > Claim> Vehicle Details

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Claim

Vehicle Details

EditSave


Driver’s Name


Driver Date of Birth* Permit Number *

Registration Name*

SelectAdd Picture Upload Picture Cancel Upload Delete

Attach



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Claim

Vehicle Details

EditSave


Driver’s Name


Driver Date of Birth* Permit Number *

Registration Name*

No

XXXXXXXX XX/XX/XXXX XXXXXXXX

Dgdhjhjkkk jkklkk XX/XX/XXXX XXXXXXXX


Damaged Property Details

Attach filesDgdhjhjkkk jkklkk. doc


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Claim

Incident Details

EditSave

Place of incident* Vehicle Speed*

Date Time*

Vehicle Direction*

Address XXXX XXXXXXXX

City XX/XX/XXXX XX:XX PM

Country

Request > Claim> Incident Details

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Claim

Incident Details

EditSave


Date Time*

Vehicle Direction*

XXXX XXXXXXXX

City XX/XX/XXXX XX:XX PM

Spain

Request > Claim> Incident Det

DGHDHGDGHHGGHFHHHFH

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Claim

Incident Details

EditSave


Date Time*

Vehicle Direction*

DGHDHGDGHHGGHFHHHFH XXXX XXXXXXXX

DFGHJK XX/XX/XXXX XX:XX PM

DFFGHHH


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Claim

Policy Details

EditSave

Policy Number* Registration Number*

Type of Coverage*

Finance Agreement

Effective Date*

Finance Details

Expiry Date *

Registration Name*

Yes Attach files

DGHDHGDGHHGGHFHHHFH

Comprehensive

XXXXX XXXXX

XX/XX/XXXX XX/XX/XXXX

Dghjjjj.doc

Request > Claim> Policy Details

Share

Search Welcome, J W



Claim

Policy Details

EditSave


Type of Coverage*

Finance Agreement

Effective Date*

Finance Details

Expiry Date *

Registration Name*

Yes Attach files

DGHDHGDGHHGGHFHHHFH

Comprehensive

XXXXX XXXXX


Dghjjjj.doc

Data filled properly. Do you want to send it?

CancelSendSend


Thanks for your interest. You have sent claim request successfully. Your request no is

XXXXXXXXXX. Agent 01 will contact you immediately. Please check your updates for

further details.

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Search Welcome, J W



Claim

Policy Details

EditSave


Type of Coverage*

Finance Agreement

Effective Date*

Finance Details

Expiry Date *

Registration Name*

Yes Attach files

DGHDHGDGHHGGHFHHHFH

Comprehensive

XXXXX XXXXX


Dghjjjj.doc

Data filled properly. Do you want to send it?

CancelSendSave


Cancelled

Approved

Yet To Approve

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Menu Back Claim

Claim Report on Claim Request

New Policy Launch

Is simply dummy text of the printing and typesetting industry. Lorem Ipsum has been the industry's standard dummy text ever since

New Claim

1

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Claim Request

New Claim Request

Vehicle Direction*

Verify


Date Time*



DFFGHHH

Data is getting verified. Do you want to update the

status to Jim?

CancelSendUpdate

Claim > Report on Claim Request

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Search Welcome, J M



Claim

New Claim

Vehicle Direction*

Verify


Date Time*



DFFGHHH


Data is getting verified. Do you want to update the

status to Jim?

CancelSendUpdate

Share

Search Welcome, Jim W


Menu Back Status

My Status

1

Claim Request Status

Status > My status

Claim Status

Contact Details

Coverage Explanation

Request ID: XXXXXXXXXX Processing>>


Email address * Telephone number*

JOHN MARKLAND

[email protected] xxxxxxxxxxxxx

Dhdhkkljkhk,jhjhoihoihoihohou, khjhujkj

Share

Search Welcome, J M



Claim Request

New Claim Request

Vehicle Direction*

Verify


Date Time*



DFFGHHH

Data Verified. Do you want to set an appointment?

CancelSendSet


Share



Menu Back Status

My Status

1


Status > My status

Claim Status

Contact Details

Coverage Explanation

Request ID: XXXXXXXXXX Verified>>


Email address * Telephone number*

JOHN MARKLAND

[email protected] xxxxxxxxxxxxx

Dhdhkkljkhk,jhjhoihoihoihohou, khjhujkj

Share



Menu Back Status

My Status

1


Status > My status

Repair Estimate

Name *

Vehicle Number*

Repair Estimate *

Repair Status*

Jim W XXXXXXXXXXXX

XXXXXXXXX Completed

Date of Appointment*

XX/XX/XXXX select

Select Time*

Thank You

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