Tatil Motor Claim Request

Transcription

1 Tatil Motor Request Wireframe Version

2 Home About Us Product Request Support QUOTE CLAIM RENEWAL CLOSE Find more >> Find more >> Find more >> Find more News & Media Contact Us

3 Back Request Type of Accident Glass Fire Theft Weather Lorem Ipsum is simply dummy typesetting industry. Lorem Ipsum Lorem Ipsum is simply dummy typesetting industry. Lorem Ipsum Lorem Ipsum is simply dummy typesetting industry. Lorem Ipsum Lorem Ipsum is simply dummy typesetting industry. Lorem Ipsum Lorem Ipsum is simply dummy typesetting industry. Lorem Ipsum

4 Back Request Type of > Format Personal Details Vehicle & Property Details Incident Details Policy Details

5 Back Request Request > > Personal Details Personal Details Name * Postal Address* address * Telephone number* Telephone number Occupation Vat Registration Number (if Any) Save Edit

6 Menu Back Request Request > > Vehicle Details Vehicle Details Owner Vehicle Number* Vehicle Manufactured On* Registration Name* Driver s Name Driver Date of Birth* Permit Number * Any Previous Accident * Select Damaged Property Details Attach files Attach Accident Picture Save Edit

7 Menu Back Request Request > > Vehicle Details Vehicle Details Owner Vehicle Number* Vehicle Manufactured On* Registration Name* Driver s Name Driver Date of Birth* Permit Number * Any Previous Accident * Select Add Picture Upload Picture Cancel Upload Delete Attach Accident Picture Attach Save Edit

8 Menu Back Request Request > > Vehicle Details Vehicle Details Owner Vehicle Number* Vehicle Manufactured On* Registration Name* XXXXXXXX XX/XX/XXXX XXXXXXXX Driver s Name Driver Date of Birth* Permit Number * Dgdhjhjkkk jkklkk XX/XX/XXXX XXXXXXXX Any Previous Accident * No Damaged Property Details Dgdhjhjkkk jkklkk. doc Attach files Attach Accident Picture Save Edit

9 Menu Back Request Request > > Incident Details Incident Details Place of incident* Vehicle Speed* Vehicle Direction* Address XXXX XXXXXXXX Date Time* City XX/XX/XXXX XX:XX PM Country Save Edit

10 Menu Back Request Request > > Incident Det Incident Details Place of incident* DGHDHGDGHHGGHFHHHFH Vehicle Speed* XXXX Vehicle Direction* XXXXXXXX Date City XX/XX/XXXX XX:XX PM Time* Spain Save Edit

11 Menu Back Request Request > > Incident Details Incident Details Place of incident* Vehicle Speed* Vehicle Direction* DGHDHGDGHHGGHFHHHFH XXXX XXXXXXXX Date Time* DFGHJK XX/XX/XXXX XX:XX PM DFFGHHH Save Edit

12 Menu Back Request Request > > Policy Details Policy Details Policy Number* DGHDHGDGHHGGHFHHHFH Registration Number* XXXXX Registration Name* XXXXX Type of Coverage* Comprehensive Effective Date* XX/XX/XXXX Expiry Date * XX/XX/XXXX Finance Agreement Yes Finance Details Dghjjjj.doc Attach files Save Edit

13 Menu Back Request Request > > Incident Details Policy Details Policy Number* DGHDHGDGHHGGHFHHHFH Type of Coverage* Comprehensive Finance Agreement Yes Registration Number* XXXXX Data filled properly. Do you want to send it? Effective Date* XX/XX/XXXX Finance Details Dghjjjj.doc Send Cancel Attach files Registration Name* XXXXX Expiry Date * XX/XX/XXXX Save Edit

14 Thanks for your interest. You have sent claim request successfully. Your request no is XXXXXXXXXX. Agent 01 will contact you immediately. Please check your updates for further details.

15 Menu Back Request Request > > Incident Details Policy Details Policy Number* DGHDHGDGHHGGHFHHHFH Type of Coverage* Comprehensive Finance Agreement Yes Registration Number* XXXXX Data filled properly. Do you want to send it? Effective Date* XX/XX/XXXX Finance Details Dghjjjj.doc Save Send Cancel Attach files Registration Name* XXXXX Expiry Date * XX/XX/XXXX Save Edit

16 Menu Back Welcome, J M 1 Report on Request New Yet To Approve New Policy Launch Approved Cancelled Is simply dummy text of the printing and typesetting industry. Lorem Ipsum has been the industry's standard dummy text ever since

17 Menu Back Request Welcome, J M Request > Report on Request New Request Place of incident* Vehicle Speed* Vehicle Direction* DGHDHGDGHHGGHFHHHFH XXXX XXXXXXXX Data is getting Date verified. Do you want to update Time* the status to Jim? DFGHJK XX/XX/XXXX XX:XX PM Update Send Cancel DFFGHHH Verify

18 Menu Back Request Welcome, J M > Report on Request New Place of incident* Vehicle Speed* Vehicle Direction* DGHDHGDGHHGGHFHHHFH XXXX XXXXXXXX Data is getting Date verified. Do you want to update Time* the status to Jim? DFGHJK XX/XX/XXXX XX:XX PM Update Send Cancel DFFGHHH Verify

19 Menu Back Status Welcome, Jim W 1 My Status Status > My status Request Status Status Request ID: XXXXXXXXXX Processing>> Contact Details Name * JOHN MARKLAND address * jm@xxx.com Postal Address* Dhdhkkljkhk,jhjhoihoihoihohou, khjhujkj Telephone number* xxxxxxxxxxxxx Coverage Explanation

20 Menu Back Request Welcome, J M Request > Report on Request New Request Place of incident* Vehicle Speed* Vehicle Direction* DGHDHGDGHHGGHFHHHFH XXXX XXXXXXXX Data Verified. Do you want to set an appointment? Date DFGHJK XX/XX/XXXX XX:XX PM Set Send Cancel Time* DFFGHHH Verify

21 Menu Back Status Welcome, Jim W 1 My Status Status > My status Request Status Status Request ID: XXXXXXXXXX Verified>> Contact Details Name * JOHN MARKLAND address * jm@xxx.com Postal Address* Dhdhkkljkhk,jhjhoihoihoihohou, khjhujkj Telephone number* xxxxxxxxxxxxx Coverage Explanation

22 Menu Back Status Welcome, Jim W 1 My Status Status > My status Request Status Repair Estimate Name * Jim W Vehicle Number* XXXXXXXXX Date of Appointment* XX/XX/XXXX Repair Estimate * XXXXXXXXXXXX Repair Status* Completed Select Time* select

23 Thank You