wefox Third Party Claim

Date of the incident

dd.mm.yyyy

Time of the incident

What was damaged?

Where did the accident happen?

Please describe the damage and accident

Your license plate

License plate of the wefox customer

Not known

Name of the wefox customer

Address of the wefox customer

License plates of other involved vehicles

Have you been under the influence of alcohol?

Yes

No

Have you been under the influence of drugs or medication?

Yes

No

Was the accident recorded by the police?

Yes

No

Police department

Police record ID

Was it a hit and run?

Yes

No

Did a person get hurt?

Yes

No

Driver license ID

Upload any important files