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MORIS
Trackday Insurance

ACCIDENT REPORT FORM
To be completed and signed by an official/organiser of the Trackday.

Note: The intention of this form is to create an independent statement confirming the date and time of the accident to assist in the process of a Trackday insurance claim.
Details of Accident
Date:
Approximate Time:
Circuit:
Corner:
The Trackday
Name of Organising Club:
Event:
The Car/Driver
Vehicle:
Registration:
Driver's Name:
Official Details
Name of Official:
Position:
Signature:  
Date:
Once completed, please fax to MORIS on +44 (0)20 7709 9669 or post to:
MORIS, 63 Mansell Street, London E1 8AN

This will form part of the necessary paperwork to process your claim. If in doubt as to the correct procedure please refer to our Claims Procedure, which can be located on the website.



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