Motor Vehicle Claim Form


What you should do

1. Before you fill out this form, please read the enclosed information. Should you have any queries, please do not hesitate to contact our office on (03) 9560 0088 to obtain advice from one of our Solicitors;

2. Complete the details on this form truthfully and with as much detail as possible;

3. Sign and return the form to our office at 2/417 Ferntree Gully Road, Mount Waverly VIC 3149, via fax on (03) 9561 3588 or via email at

4. Refer any communications from the offending party or their insurers to our office;

5. Forward any payments received in relation to this claim to Express & Co Lawyers;

6. You need to provide a copy of the vehicle registration certificate and other information about the collision if/when requested by our office;

7 Assist our office in all reasonable ways possible to settle the claim in a timely manner.


What We Will Do

1. Ensure that your vehicle is assessed by qualified assessors. There is no need for you to obtain further quotes;

2. Make a claim on the offending party or their insurers. Upon recovery of funds, we will pay the repairer directly for the repair costs;

3. All costs and charges will be sought from the offending party or their insurance company. There will be no cost to you except in the following circumstances:

a. You deal directly with any person acting for the other party or their insurer. You must refer all communications to our office;

b. You have provided use with false or misleading information, or failed to respond to our requests for information;

c. You withdraw your instructions from our office without our consent;

d. Your vehicle is a total loss and deemed not a repairable proposition. In this situation our fee is payable by you from the amount recovered for the total loss


After you have carefully read and agree with the above, click on the link below to submit the form electronically, or alternatively download the form in a PDF to have it printed and faxed or sent to us.

Our mailing address is 2/417 Ferntree Gully Road, Mount Waveryly VIC 3149, or if via fax please send to (03) 9561 3588.

If you have any questions please get in touch and we'll be more than happy to tend to any questions.






2/417 Ferntree Gully Rd, Mt Waverly +61 3 9560 / 9561 3588 Monday - Friday, 08:00 - 18:00

© 2016 Express & Co  All rights reserved

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