Form to report accident not involving others

Form to report accident not involving others

To report a new accident not involving another party, all you need to do is fill this form in correctly and send it to KBC Autolease. You do not, therefore, have to complete a European accident statement.

Fields marked with * must be completed.

1Your contact details
2Circumstances of the accident
3Roadside assistance
4Describe all of the damage to vehicle.
5Repairs

KBC Autolease aims to process your personal data in a manner that is lawful, appropriate and transparent. Further details about how we process and share your personal data are set out in our privacy statement. It explains your rights and how you can exercise them. Our privacy statement is available at www.kbc.be/autolease/privacy, at your branch or from your intermediary and is regularly revised.​​

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