Accident Report Form

You can send a report regarding your accident or incident to Accident Victims Association / Lawfinders using the following online accident report form.

Your information will be sent to AVA / Lawfinders and a confirming email will be sent to you. One of our advisors will contact you by phone or email within 24 to 48 hours.

Please be sure to complete all the required (x) fields then press the 'Send' button at the bottom of the form.

Please enter your full name: x

Address:

State / Territory:	Postcode:

Contact phone or mobile number: x
Email address: x

Do you currently have legal representation? x	Yes No

Describe the accident or incident:
What injury have you sustained?
Where and when did the injury occur? (state, town, home or work, etc)
Who do you feel is to blame?