Reclamo | Fleet — European Accident Statement

Other party information

Participation1 of 2

Why is Driver B not participating?

This produces a unilateral report. Add the reason so the final document is clear about the missing signature.

Reason

Notes

Add what you know about the other party

Leave unknown fields blank rather than guessing.

Driver / policyholder name

Vehicle registration

Vehicle make

Vehicle model

Country

Insurer

Policy / contact details

Accident details

Date and time1 of 3

Confirm when it happened

We prefilled the current date and time. Edit them if the accident happened earlier.

Automatically detectedEditable

2 August 2026 at 17:18, using the time on this device.

Date

Time

Enter a valid date and time that are not in the future.

Confirm where it happened

We prefilled a GPS-based location. You can correct the address or add useful context.

GPS location detectedApprox. 12 m

51.4866, -0.2195 · Fulham Palace Road, London

Street or location

City

Country

Latitude

Longitude

Location notes (optional)

Shared accident detailDriver A sets the date, time and location. Driver B can confirm them or request a correction, but cannot overwrite them directly.

Waiting for Driver B to join

Enter the street or location, city and country.

Record injuries and other material damage

These are standard shared EAS fields. Record what is known now; details can be edited later.

Anyone injured, even slightly?

Did police attend?

Damage to vehicles other than A and B?

Damage to objects other than vehicles?

Details (optional)

Answer the injuries and both material-damage questions.

Your details

Driver identity1 of 3

Who was driving?

Use the driving licence details.

First name

Last name

Date of birth

Address and contact

This appears in EAS section 9.

Address

Postcode

City

Country

Phone

Email

Licence and policyholder

We reuse the driver's details when they are also the policyholder.

Licence category

Driving licence number

Licence valid until

Is the driver also the policyholder?As shown on the insurance certificate.

Who is the policyholder?

Enter the insured person or legal entity shown on the certificate.

Policyholder type

First name

Last name

Policyholder address

Complete the remaining section 6 contact fields.

Address

Postcode

City

Country

Phone / email

Your vehicle

Registration1 of 2

Identify Vehicle A

Use the registration certificate.

Registration

Country of registration

Describe the vehicle

Add the make, model and whether a trailer was attached.

Make

Model / type

Identify the trailer

Complete EAS section 7.2.

Trailer registration

Country of registration

Insurance

Policy1 of 3

Insurance policy

Use the insurance certificate or insurer app.

Insurance company

Policy number

Coverage details

Complete the certificate dates and Green Card when available.

Valid from

Valid to

Green Card number (optional)

Is damage to this vehicle insured?

Agency or broker

Add the office details shown on the certificate when available.

Name

Address

Postcode

Country

Phone / email

Photos and damage

Capture the scene before vehicles move

Take wide photos first, then photograph visible damage.

Visible damage to Vehicle ADescribe visible damage, or enter “No visible damage”. Photos are optional evidence.

Points of impact

Where was your vehicle hit?

Select a vehicle, then tap each impact point. Tap a red dot again to remove it.

FRONT ↑REAR

Car · 0 pointsMaximum 10

Witnesses and third parties

Witnesses1 of 2

Were there any witnesses?

Select an answer even when there were no witnesses. A negative answer completes this part.

Select Yes or No to continue.

Add witness details

Add only the information available. Use one pair of boxes per witness.

Witness information

Witness statement

Other damage details

You already reported damage to another vehicle or object. Add optional insurer-useful details without changing the standard EAS yes/no fields.

Details (optional)

Accident drawing

Show what happened

Choose a background, then add and move the elements.

Background Changing it keeps your elements

1 elementBlank background

Elements Tap an item, then the diagram

Vehicle A is ready. Drag it into position or add another element.

Review and sign

Review Vehicle A before signing

Scan the information below. Use Edit to correct anything. Signing confirms this data set and does not admit liability.

Accident details

Date, place, injuries and shared facts

Driver & policyholder

Driver A details

Vehicle & insurance

Vehicle A and insurer

Evidence & accident description

Photos, damage, impact, circumstances, witnesses and sketch

Your remarks

Signature

Sign here with your finger or mouse

Signature required

Invite the other driver

Invite Driver B

The Driver B session is independent. This English demo still records the device language separately for the production locale adapter.

QR code opening the Driver B demo session

Session RCL-DEMO-V18

https://fleet.reclamo.app/demo/?role=B&session=RCL-DEMO-V18

One-phone mode

Complete both sides on this phone

Finish Vehicle A first, then hand the phone to Driver B. Their interface can switch to their language.

The app keeps each driver's details and signature separate. Driver B cannot change Vehicle A after it has been signed.

Vehicle A — signed

Vehicle A is locked

Driver A has confirmed and signed this side. Driver B can review it, but no fields can be changed.

Driver AJohn Smith
+44 7700 900123

Vehicle AFord Focus · LM71 XKD

InsuranceAviva Insurance · AV-2026-447182

Shared accident facts2 August 2026 · 17:18
290 Fulham Palace Road, London

Signature Vehicle A signed

Your details

Driver identity1 of 3

Who was driving?

Use the driving licence details.

First name

Last name

Date of birth

Address and contact

This appears in EAS section 9.

Address

Postcode

City

Country

Phone

Email

Licence and policyholder

We reuse the driver's details when they are also the policyholder.

Licence category

Driving licence number

Licence valid until

Is the driver also the policyholder?As shown on the insurance certificate.

Who is the policyholder?

Enter the insured person or legal entity shown on the certificate.

Policyholder type

First name

Last name

Policyholder address

Complete the remaining section 6 contact fields.

Address

Postcode

City

Country

Phone / email

Your vehicle

Registration1 of 2

Identify Vehicle B

Use the registration certificate.

Registration

Country of registration

Describe the vehicle

Add the make, model and whether a trailer was attached.

Make

Model / type

Identify the trailer

Complete EAS section 7.2.

Trailer registration

Country of registration

Insurance

Policy1 of 3

Insurance policy

Use the insurance certificate or insurer app.

Insurance company

Policy number

Coverage details

Complete the certificate dates and Green Card when available.

Valid from

Valid to

Green Card number (optional)

Is damage to this vehicle insured?

Agency or broker

Add the office details shown on the certificate when available.

Name

Address

Postcode

Country

Phone / email

Photos and damage

Capture the scene before vehicles move

Take wide photos first, then photograph visible damage.

Shared photos are locked on this phoneDriver B can view scene photos added by Driver A and add Vehicle B damage.

Visible damage to Vehicle BDescribe visible damage, or enter “No visible damage”. Photos are optional evidence.

Points of impact

Where was your vehicle hit?

Select a vehicle, then tap each impact point. Tap a red dot again to remove it.

FRONT ↑REAR

Car selected0 points

Review and sign

Review Vehicle B before signing

Scan Driver B's side below. Signing confirms this data set and does not admit liability.

Driver & policyholder

Driver B details

Vehicle & insurance

Vehicle B and insurer

Damage & circumstances

Damage, impact and circumstances

Maria Garcia · Toyota Yaris · KT22 RXY
Admiral · ADM-8829146

Your remarks

Signature

Sign here with your finger or mouse

Signature required

Report

Report status

Review the captured facts in one continuous scan. Signed information is protected; editing it requires a new signature.

Shared accident facts

Accident details

Vehicle A

Vehicle A

Vehicle B / other party

Waiting for Driver B

Witnesses & third-party damage

Not answered.

Complete required tasks and signatures before generating the final EAS.

Submit completed report

Your European Accident Statement is ready

Review the generated document before sending or downloading it. Nothing has been delivered yet.

Generated from the signed inputsJoint EAS

Demo: PDF export uses the browser print dialog; email, insurer delivery and cross-device sync are simulated through adapter functions.

Help

Complete the statement safely

Use the tasks to capture facts and evidence. You can edit completed tasks until the relevant side is signed.

EmergencyCall 112 if anyone is injured or the scene is unsafe.

No admission of liabilityThe EAS records what happened. Liability is determined separately.

Two driversUse two phones or one-phone handoff. Each driver's signature protects their confirmed data.

Demo behaviorYour draft is saved in this browser. Delivery and remote synchronization are simulated.

Document the accident while details are fresh

Your tasks

Your tasks