Reclamo Fleet — Accident Report Demo v17

Accident time and location

Date and time1 of 2

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.

Your details

Driver identity1 of 3

Who was driving?

Enter the driver's identity exactly as shown on official documents.

First name

Last name

Date of birth

Country

Address and contact

Add the driver's current address and a reliable contact method.

Address

Postcode

City

Phone

Email

Licence and vehicle owner

Confirm the driving licence and whether the driver is also the policyholder.

Licence category

Driving licence number

Your vehicle

Registration1 of 2

Identify Vehicle A

Use the registration certificate.

Registration

Country

Describe the vehicle

Add the make, model and trailer status.

Make

Model

Insurance

Insurer1 of 3

Who insures the vehicle?

Use your insurance certificate or insurer app.

Insurance company

Agency / broker (optional)

Add the policy reference

Enter the policy number and coverage dates.

Policy number

Valid from

Valid to

Confirm coverage details

Add the Green Card number when available and confirm vehicle damage coverage.

Green Card number (optional)

Photos and damage

Capture the scene before vehicles move

Take wide photos first, then photograph visible damage.

Visible damage to Vehicle A

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

Was anyone else or other property involved?

This includes another vehicle, a pedestrian, cyclist, road sign, barrier, building or other property.

Select Yes or No to continue.

Add third-party details

Describe the person, vehicle or property and include contact or registration details when available.

Details

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

Confirm your side of the report

Signing confirms your details and description. It does not mean you admit liability.

Your remarks

Signature

Sign here with your finger or mouse

Signature required

Invite the other driver

Ask Driver B to scan

They can complete their side on their own phone and in their own language.

Session RCL-8YAG-XZY8

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.

Not a standard collision?

File a legal claim with Reclamo Legal

Use the connected Legal service when the fleet incident may require a police complaint, formal claim or structured evidence report.

Vehicle theft Break-in or theft from a vehicle Hit-and-run or parked-vehicle damage Vandalism or intentional damage Rental or shared vehicle not returned Cargo, tool or equipment theft Rental or identity fraud Number-plate theft or cloning Driver assault, robbery or threats Defective public infrastructure damage

File a legal claim Reclamo Legal opens in a new tab and this Fleet report remains unchanged.

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?

Enter Driver B's identity exactly as shown on official documents.

First name

Last name

Date of birth

Country

Address and contact

Add Driver B's current address and a reliable contact method.

Address

Postcode

City

Phone

Email

Licence and vehicle owner

Confirm the driving licence and whether Driver B is also the vehicle owner.

Licence category

Driving licence number

Your vehicle

Registration1 of 2

Identify Vehicle B

Use the registration certificate.

Registration

Country

Describe the vehicle

Add the make, model and trailer status.

Make

Model

Insurance

Insurer1 of 3

Who insures the vehicle?

Use the insurance certificate or insurer app.

Insurance company

Agency / broker (optional)

Add the policy reference

Enter the policy number and coverage dates.

Policy number

Valid from

Valid to

Confirm coverage details

Add the Green Card number when available and confirm vehicle damage coverage.

Green Card number (optional)

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 B

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

Confirm your side of the report

Signing confirms Driver B's details and description. It does not mean Driver B admits liability.

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

Your remarks

Signature

Sign here with your finger or mouse

Signature required

Report

Check everything before submission

Use the collapsed summaries for quick review. Open a section only when something needs editing.

Accident details⌃

2 August 2026 · 17:18
290 Fulham Palace Road, London, United Kingdom

Vehicle A⌄

Ford Focus · LM71 XKD
John Smith
Aviva Insurance · AV-2026-447182

Vehicle B⌄

Will be completed on this phone after Vehicle A signs.

Witnesses and third parties⌄

Not answered.

Accident description⌄

Circumstances, point of impact, drawing, remarks and attached photos.

Submit completed report

Both drivers have signed

Submit the final accident report. The demo will create one immutable report and make it available to both drivers.

Vehicle AJohn SmithSigned

Vehicle BMaria GarciaSigned

After submission Email to both drivers Email to the registered fleet address Shareable report and PDF preview

Demo only: submission, synchronization and email delivery are simulated.

Complete both sides on this phone

Your tasks

Your tasks