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Private Settlement for Motor Accidents 201606 indd 2026

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4.6 out of 5

51 votes

The document outlines the procedure for private settlements in motor accidents, emphasizing the requirement to report the accident within 24 hours. It details the conditions under which parties can settle amicably without legal action if there are no personal injuries and minor damages. The document also explains how to submit a private settlement form to Income, ensuring that the insured's No Claim Discount (NCD) is protected even if a claim arises later. Additionally, it mentions the use of collected information for insurance administration and fraud detection.

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Click ‘Get Form’ to open it in the editor.
Begin by filling out the 'Details of Accident' section. Enter the location, date (in dd/mm/yyyy format), and time of the accident.
In section 2a, provide the motor vehicle registration number of the first vehicle involved, along with the driver's name and NRIC number. Repeat this for section 2b for the second vehicle.
Confirm that there are no personal injuries or death involved by checking the appropriate box.
In section 4, choose between option a) or b) regarding liability and compensation. Make sure to delete the option that does not apply.
Indicate that both parties will not make a police report of this accident by checking the relevant box.
Complete the final sections with your name, NRIC/passport number, contact details, and signatures for both parties involved.

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Versions	Form popularity	Fillable & printable
2021	4.6 Satisfied (51 Votes)
2014	4.8 Satisfied (125 Votes)
2012	4.4 Satisfied (298 Votes)

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