§ 06 — Contact

Open a file today.

Complete the form below. No fee, no obligation — a case handler will confirm receipt and set out next steps the same day.

Nationwide, United Kingdom

Personal details

§ 01

Full name *

Date of birth *

Email *

Contact number *

Please enter an 11 digit contact number.

Full home address *

Please include door number, street name and city.

Post code *

Occupation *

National Insurance number *

Driving licence

§ 02

Do you hold a valid licence? *

Any points on your licence? *

How long have you held your licence? *

Has the third-party insurer contacted you? *

Via text, call or email

Your vehicle

§ 03

Car registration *

Is your vehicle taxed? *

Does your vehicle have a valid MOT? *

Other cars in your name? *

With logbook on your name

Insured with

Policy number

Claim reference

Police reference

Accident details

§ 04

Accident date *

Accident time (24h) *

Time of day *

Road condition *

Accident location *

Accident circumstances *

Please explain what happened in as much detail as possible.

Passengers injured? *

PCO / Taxi (if applicable)

§ 05

Vehicle owner

Plating area

Taxi licence expiry date

Third party

§ 06

Third party driver name

Third party registration *

Third party insurance

Third party contact number

Referrer & additional info

§ 07

Referrer details *

Anything else we should know?

How did you hear about us?

I agree to be contacted by Apex Claims about my accident and understand the service is free where liability is not my own.