RGM Vehicle Body Repairs
Tuesday 13th of November 2018

Accident Damage Advice

Become a Premier Client

ACOAT Selected

 

 

 

Accident Report Form

If you are an existing member of our Premier Club, you can complete the following form to Fast-Track your repair process. if you are not a premier member, you may still complete the Form, and we will send you out a members pack in the post.
Field marked * must be completed in full.

Customer Details
*
*
* including area code
*
Vehicle Details
*
*
*
Accident Details
Date of Accident *
*
*
*
*
*
*
*
*
   
   
*
Insurance Company Details
*
*
*
Security Question
To prevent spammers, please type the two words in the box below.