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All mandatory fields are required to be completed correctly and in full (including the provision of clear photos where required).
Incorrect or incomplete submissions will not be accepted or investigated.

Type of enquiry/feedback:*

Type of complaint*

Type of traffic matter*

Type of Towaway / Clearway related matter*

Your name*

First Last

Preferred contact method?*

Please contact me
Please don't contact me

Contact number*

Email*

What vehicles or plant were involved in this complaint?*

Job related vehicle/plant
Nationwide Vehicle

Vehicle registration*

Nationwide vehicle registration*

Address

Nationwide reference number (if applicable)

Nationwide vehicle registration / fleet number*

Date and time of alleged incident*

Location of alleged incident (Name of road, freeway, highway and suburb)

Location of alleged incident (Name of road, freeway, highway and suburb)*

Road conditions / dry / wet / gravel / bitumen / rough

Direction in which you were travelling

Direction in which any other vehicle(s) involved was travelling

Approximate speed you or other vehicle(s) were travelling

Did anyone else witness the alleged incident?

Yes

Name*

Preferred contact method*

Phone
Email

Email*

Email

Contact number*

Contact number

Address

Add more witnesses?

Yes

Name*

Preferred contact method?*

Email
Phone

Email

Email*

Contact number

Contact number*

Address

Full description of alleged incident*

Photos or videos to support this

Drop files here or

Photos or videos to support this*

Drop files here or

Any other information relating to this matter

Your Name*

First Last

Contact Method*

Please contact me
Please don't contact me

Contact Number*

Email*

Address

What was allegedly damaged?*

Type*

Make*

Model*

Model

Registration number*

Number*

Wheeled or tracked

Year*

Color

Type of vehicle (motorcycle, sedan, coupe, van, etc if applicable

Name of vehicle owner*

Plant or Equipment owner

Address of property*

Description of property

Date and time the alleged damage occured*

Date and time the alleged damage occured

When did the alleged damage occur (during loading, in transit, during unloading)

Location of alleged damage (eg. street name, suburb, site name etc)

Location of where vehicle/item was transported from

Location of where vehicle/plant was transported from*

Location of where vehicle/item was being transported to

Location of where vehicle/plant was being transported to*

Nationwide Reference Number (if applicable)

Nationwide vehicle registration number (if applicable)

Your vehicle registration if applicable (Was your vehicle towed by NTT) ?

Did anyone else witness the alleged incident?

Yes

Name*

Preferred contact method?*

Email
Phone

Email*

Email

Contact Number*

Contact Number

Address

Add more witnesses?

Yes

Name*

Preferred contact method?*

Email
Phone

Email*

Email

Contact Number*

Contact Number

Address

Description of how the alleged damage occured*

Appropriate evidence including close up photos of alleged damage, wide angle photos showing the vehicle / property / plant, photo showing vehicle registration plate, and vehicle reports*

Drop files here or

Appropriate photographic evidence including close up photos of alleged damage, wide angle photos showing the vehicle / property / plant and any vehicles involved in situation, photo showing vehicle registration plate (if applicable)

Drop files here or

If police were involved, please list names, badge numbers and station location of officers

Name of your insurer

Name of Nationwide representative involved if known

Names, addresses and phone number of any witnesses to the alleged damage occuring

Other information relating to this alleged damage

Your Name*

First Last

How would you like to be contacted?*

Please contact me
Please don't contact me

Contact Number*

Email*

Date and time of the alleged incident*

Location of alleged incident (eg. street name, suburb, site name etc)*

Address

Make*

Make

Model*

Model

Year*

Year

Vehicle registration*

NTT presentative (if applicable or known)*

Color

Type of vehicle (motorcycle, sedan, coupe, van, etc if applicable)

Name of vehicle owner*

Name of vehicle owner

Date and time the alleged damage occured

Date and time the alleged damage occured*

Date/time of Towaway / Clearway*

When did the alleged damage occur (during loading, in transit, during unloading)

Where was the vehicle towed from*

Nationwide vehicle registration number (if applicable)

Nationwide vehicle registration number

Did anyone else witness the alleged incident?

Yes

Name*

First Last

Best contact method?*

Email
Phone

Email*

Email

Contact Number*

Contact Number

Address

Add more witnesses?

Yes

Name*

Preferred contact method*

Email
Phone

Email*

Email

Contact number*

Contact number

Address

Description of how the alleged damage occured

Description of alleged procedural breach*

Description of how the alleged incident*

Appropriate photographic evidence including close up photos of alleged damage, wide angle photos showing the vehicle / property / plant and any vehicles involved in situation, photo showing vehicle registration plate (if applicable)

Drop files here or

Appropriate documents and/or photographic evidence including close up photos of alleged damage, wide angle photos showing the vehicle / property / plant and any vehicles involved in situation, photo showing vehicle registration plate (if applicable)*

Drop files here or

If police were involved, names and station location of officers

Name of your insurer

Name of Nationwide representative involved if known

Names, addresses and phone number of any witnesses to the alleged damage occuring

Other information relating to this alleged damage

Your Name*

First Last

Preferred contact method*

Please contact me
Please don't contact me

Contact Number*

Email*

Are you a customer or account holder of nationwide towing?

Yes

Account name*

Invoice / Job number*

Make / model / year of vehicle or asset number of machinery involved*

Location of where vehicle / equipment was transported from*

Location of where vehicle / equipment was transported to*

Date and Time of job

Nationwide reference number (if applicable)

Details of complaint*

Copy of supporting documents to be attached (if applicable)

Drop files here or

Your Name*

First Last

Preferred contact method?*

Please contact
Please don't contact me

Contact number*

Email*

Nationwide job details including reference number (if applicable)

Job details (E.g. Vehicle Tow)

Details of complaint

Your Name*

First Last

Would you like to be contacted?*

Yes - Please via phone
Yes - Please via email
No - Please dont contact me

Email*

Email

Contact Number*

Contact Number

Nationwide job details including reference number (if applicalble)

Feedback

Your Name*

First Last

Would you like to be contacted?*

Yes - Please via phone
Yes - Please via email
No - Please dont contact me

Email*

Email

Contact Number*

Contact Number

Nationwide Reference Number (if applicable) or fleet/tow truck registration number

Name of person relating to this appreciation (if known)

Your registration number

Date & time of service provided

Reason for lodging this appreciation*

Please contact us on 134 TOW.

Nationwide Towing and Transport act as an agent for local government bodies, for any dispute please contact the relevant government bodies.

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