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Claim Form

Excess Details

No fields are currently placed in this section (likely legacy/unused).

Claim Details

Field NameTypeLinked Form / ModuleNotes
Lead_Source1 (required)picklistLead_Source
Lead_Source_Referencetext
Lead_Source_CompanypicklistLead_Source_Company
Field_Nametext
stella_statepicklistValues: NSW / VIC / QLD / SA / TAS / WA
Is_Claim_AcceptedpicklistValues: Accepted / Declined / Pending / New Claim / Pending Further Investigation / Red Flag Job – Pending Validation / Rescheduled / Matter Litigated / On Hold; default: New Claim
Red_Flag_Notes (required)textarea
Red_Flag_Job_Datedate
Red_Flag_Job_Daystext
Accepted_Declined_DatedatetimePrivate field
Booking_CoordinatorpicklistUsers (built-in)Personal data field
Assigned_Booker1picklistUser
Reschedule_Datedate
File_Handler_TestpicklistUsers (built-in)Personal data field; record owner field for this form
Com_s_AmountAUD (currency)
Date_Assigned_to_Claims_Consultantdate
Booking_DatedatePrivate field
Delivery_DatedatePrivate field
Recovery_HandlerpicklistUsers (built-in)Personal data field
Job_Taken_OnpicklistValues: Yes / No
Job_Taken_On1date
Claim_Type1 (required)picklistValues: Rental Only / Repair Only / Repair & Rental / Towing/Storage Only / Towing/Storage + Rental / Storage Only / Towing + Repair / Towing + Repair + Rental / Repair Only / Free Rental / Repair Only IITR/Crash Collab / Rental Only IITR/Crash Collab / Towing/Storage + Free Rental / Total Loss Rental Only / Total Loss + Towing/Storage + Rental / Towing + Repair + Free Rental / Free Rental Only
Attempt_Direct_Claimcheckbox
Reason_for_Direct_Claimtextarea
Direct_Claim_StatuspicklistValues: Direct Claim Required / Direct Claim In Review / Direct Claim Active / Direct Claim Settled / Direct Claim Rejected / Direct Claim Remitted
Update_Direct_ClaimpicklistUpdate_Direct_ClaimPrivate field
External_Client_RepairerpicklistValues: Waiting For Booking / Booked
Is_customers_vehicle_being_repaired_or_a_total_losspicklistValues: Repaired / Total Loss
Has_the_vehicle_been_purchased_from_a_clientpicklistValues: Yes / No
Rental_Only_Repairertext
Rental_Only_ETAdate
Detailed_Reason_for_the_Repair_Delaytextarea
Total_Loss_Notestextarea
Is_repairer_in_Crashclaim_Repair_networkpicklistValues: Yes / No
Does_repairer_have_authority_from_insuerpicklistValues: Yes / No
Recovery_Type (required)picklistValues: 3rd Party / Direct / CBR - At Fault / CBR - Not At Fault / CBR - Not At Fault Direct / Private Job / Free Loan Vehicle / Loan Car – Private Job / Client Private Jobs
Rental_Provider (required)picklistValues: Crashclaim / Right2Drive / CARBIZ / COMPASS / IM IN THE RIGHT / A2B / No Rental Provider / Miami Smash Repairs / Sheens; allows custom "other" value
Rental_Recovery_type (required)picklistValues: 3rd Party / Direct / CBR - At Fault / CBR - Not At Fault / CBR - Not At Fault Direct / Private Job / CBR No Hire On Policy / Free Loan Car; allows custom "other" value
Tow_Recovery_TypepicklistRecovery_TypeAllows adding new entries inline ("Add Recovery Type"); this is a separate master form also named Recovery_Type — not the same as this form's own Recovery_Type field above
Cross_Hirecheckbox
Potential_Direct_Claimcheckbox
Related_ClaimslistClaim_Form (self-referencing)Multi-select
CBR_Rental_Durationnumber
CBR_Daily_Rental_RateAUD (currency)
CBR_Excess_note2textarea
CBR_Excess_paid_Datedate
CBR_Excess_AmountAUD (currency)
Assigned_Recovery_AgentpicklistRecovery_Agent
Create_File_NumberautonumberStarts at 1000001
Kratos_File_NumberautonumberStarts at 200000
Repair_Invoice_Datedate
File_Number (required, unique)text
Stella_Claim_StatuspicklistValues: Open / Closed Settled / Closed Withdrawn; private field
Drive_Legal_Referencetext
Claims_Management_FormpicklistClaims_Management_Form (↔ Claim_Form)Private field
Offer_DetailspicklistOffer_Details (↔ File_Number)Private field
Total_Loss_SettlementspicklistTotal_Loss_Settlements (↔ File_Number)Private field
Send_Images_Docs_to_DropboxpicklistSend_Images_Docs_to_Dropbox (↔ Claim_Form)Private field
Payment_PlanpicklistPayment_Plan (↔ Claim_Form)Private field
Add_Job_1picklistlogistics_app.Add_Job (↔ Claim_Form_V1)Private field
Add_Job_2picklistlogistics_app.Add_Job (↔ Claim_Form_2)Private field
Add_Job_3picklistlogistics_app.Add_Job (↔ Claim_Form_3)Private field
Add_Job_4picklistlogistics_app.Add_Job (↔ Claim_Form_4)
Add_Job_5picklistlogistics_app.Add_Job (↔ Claim_Form_5)
Add_Job_6picklistlogistics_app.Add_Job (↔ Claim_Form_6)
Add_Job_7picklistlogistics_app.Add_Job (↔ Claim_Form_7)
PRI_Job_Recordpicklistlogistics_app.Add_Job (↔ PRI_Claim_Form)Private field
Recto_Job_Recordpicklistlogistics_app.Add_Job (↔ Recto_Claim_Form)Private field
Work_drive_IDtext
Date_CreateddateDefault: today
State_Law_ImportcheckboxPrivate field
Zoho_IDtext
CAS_Tow_NeededpicklistValues: Roadside Tow / No Tow Needed / Trade Tow / Crashclaim Tow
Tow_OperatorpicklistTow_Operator
towing_company_and_locationstextarea
Add_IconspicklistAdd_IconsPrivate field
Select_PersonpicklistValues: Driver / Owner
Loan_Vehicle_Claimcheckbox
Available_Fleetpicklistlogistics_app.Add_Car (filtered: Vehicle_Status == "Available" || Vehicle_Status == "Off Hire")
CommissionpicklistCommission (↔ File_Number)

Driver Details

Field NameTypeLinked Form / ModuleNotes
Driver_Name (required)name (composite: prefix, first_name, last_name, suffix)Prefix and Suffix subfields are hidden; personal data field
Driver_Phone (required)phonenumberAllowed country: AU; personal data field
Driver_Email (required)emailPersonal data field
Driver_Date_of_Birthdate
Driver_Address (required)address (composite)Address Line 2, Country, Latitude, Longitude subfields are hidden; personal data field
Drives_licenceimage
Drivers_Licence_Backimage
is_Driver_the_same_as_ownercheckbox
Relationship_to_Owner (required)picklistValues: Child / Owner / Parent / Partner; allows custom "other" value

Owner Details

Field NameTypeLinked Form / ModuleNotes
Owner_Name (required)name (composite)Prefix and Suffix subfields are hidden; personal data field
Owner_Phone (required)phonenumberAllowed country: AU; personal data field
Owner_Email (required)emailPersonal data field
Owner_Address (required)address (composite)Address Line 2, Country, Latitude, Longitude subfields are hidden; personal data field
Owners_Licenceimage
Owners_Licence_Backimage

Employer Details

Field NameTypeLinked Form / ModuleNotes
Are_you_currently_employedcheckbox
Employer_Name (required)text
Employer_Address (required)address (composite)Address Line 2, Country, Latitude, Longitude subfields are hidden; personal data field
Work_Related_Vehicle_UsetextareaTooltip: "Describe how the customer uses the vehicle for work."

Rental Need

Field NameTypeLinked Form / ModuleNotes
Public_transport_is_not_suitable_for_me_becauselistMulti-select. Values: To drive to and from work each working day / To drop off and pick up my child(ren) from school / To carry out weekly errands, including grocery shopping / To travel to and from social and/or family functions / To pick up and drop off friends and family members / To travel to and from various places for social/recreational purposes / For day to day tasks
Rental_is_my_only_option_because (required)listMulti-select. Values: I do not own any other vehicles in my name / I own other vehicles but i do not have access to them on a day to day basis / I cannot borrow other vehicles from family or friends for use on a day to day basis
Public_transport_is_not_suitable_for_me_because1 (required)listMulti-select. Values: Access to public transport is limited / I do not live near a station / I do not live near a bus stop
Other_reasons_why_a_rental_is_needed (required)textarea

Customers Vehicle Details

Field NameTypeLinked Form / ModuleNotes
Vehicle_Type (required)picklistValues: Bike / Car / Truck / Trailer
Customer_Make (required)text
Customer_Model (required)text
Transmission (required)picklistValues: Automatic / Manual
Year_field (required)number
Customer_Registration (required)text
Auto_Grabcheckbox
VINtext
Vehicle_Requirementstextarea
Customer_Registration1image
Date_Registration_Papers_Uploadeddate
Registration_TypepicklistValues: Private / Business
Registered_for_GSTpicklistValues: Yes / No
Do_you_have_Ceramic_OR_Paint_ProtectionpicklistValues: Yes / No
Are_you_insured (required)picklistValues: Yes / No
Do_you_have_comprehensive_insurancepicklistValues: Comprehensive / CTP / 3rd Party
Does_the_client_have_choice_of_own_repairerpicklistValues: Yes / No

Client Insurance Details

Internal section ID: Driver_Insurance_Details. The live UI shows this and "Customers Vehicle Details" under one continuous panel with no separate heading.

Field NameTypeLinked Form / ModuleNotes
Client_Insurer (required)picklistInsurer_FormAllows adding new entries inline ("Add New Insurer")
Policy_Numbertext
Claim_Numbertext
Policy_Renewal (required)radiobuttonsValues: Exact date is available / Approximate date available
Renewal_Date (required)picklistValues: Next 1 month / Next 2 months / Next 3 to 6 months / Next 7 to 12 months
Exact_renewal_date (required)date
Do_you_have_hire_car_policypicklistValues: Yes / No
CBR_Rental_Note_Fieldtextarea
Customer_Insurance_Documentimage
Customer_Insurance_Schedule1upload file
I_give_Crash_Claim_authority_to_recover_any_costs_from_my_insurer_if_a_3rd_party_recovery_is_unsuccheckbox

Accident Details

Includes Witness_Police_Details (row 10), which has no section boundary of its own and displays as part of this panel.

Field NameTypeLinked Form / ModuleNotes
Date_of_Accident (required)date
Time_of_Accident (required)time
Accident_Description (required)textarea
Reformat_Accident_Description_with_AIcheckbox
Number_of_vehicles_involved (required)picklistValues: 1 / 2 / 3 / 4 / 5
Accident_Location (required)address (composite)Address Line 2, Country, Latitude, Longitude subfields are hidden; personal data field
Damage_Description (required)textarea
Reformat_Damage_Description_with_AIcheckbox
Baby_Seat_Installed (required)picklistValues: No / Yes
Baby_Seat_DamagedpicklistValues: No / Yes
Number_of_Damaged_Baby_SeatspicklistValues: 1 / 2 / 3
Seek_ReimbursementpicklistValues: Yes / No
Invoice_of_Baby_Seatimage
Damaged_Baby_Seat_Imageimage
Damaged_Baby_Seat_Image_2image
Damaged_Baby_Seat_Image_3image
Witness_Police_DetailssubformEmbedded subform, columns: WHo (picklist, values: Witness / Police), Name (text), Phone_Number (phonenumber, personal data), Email (email, personal data), Notes (textarea)

At Fault Driver Details

Field NameTypeLinked Form / ModuleNotes
rd_Party_Name (required)name (composite)Prefix and Suffix subfields are hidden; personal data field
At_Fault_Addressaddress (composite)Address Line 2, Country, Latitude, Longitude subfields are hidden; personal data field
At_Fault_Phone_NumberphonenumberAllowed country: AU; personal data field
At_Fault_Driver_DOBdate
At_Fault_Driver_EmailemailPersonal data field
At_Fault_Maketext
At_Fault_Modeltext
At_Fault_Registrationtext
At_Fault_Vehicle_Yearnumber
At_Fault_Vehicle_Damagetextarea
Did_the_at_fault_driver_admit_liabilitypicklistValues: Yes / No / Pending
How_was_liability_confirmtextarea
Was_liability_admitted_on_a_recorded_linepicklistValues: Yes / No
At_Fault_Party_Insurer1picklistInsurer_FormAllows adding new entries inline ("Add New Insurer")
At_Fault_Party_Insurertext
At_Fault_Party_Policytext
At_Fault_Party_Claimtext
At_Fault_Drivers_Licenceimage
At_Fault_Drivers_Licence_Backimage
Is_the_At_Fault_driver_the_owner_of_the_vehiclecheckbox

At Fault Third Driver Details

Fields for a second at-fault vehicle/driver in multi-vehicle accidents.

Field NameTypeLinked Form / ModuleNotes
What_position_is_the_clientpicklistValues: 1 / 2
Vehicle_Accident_PositionpicklistValues: 1 / 2
At_Fault_Namename (composite)Prefix and Suffix subfields are hidden; personal data field
At_Fault_Address1address (composite)Only Latitude and Longitude subfields are hidden; personal data field
At_Fault_Phone_Number1phonenumberPersonal data field
At_Fault_Driver_DOB1date
At_Fault_Driver_Email1emailPersonal data field
At_Fault_Vehicle_Maketext
At_Fault_Vehicle_Modeltext
At_Fault_Vehicle_Registrationtext
At_Fault_Vehicle_Year1number
At_Fault_Vehicle_Damage1textarea
At_Fault_Party_Insurer_NamepicklistInsurer_Form
At_Fault_Party_Policy1text
At_Fault_Party_Claim1text

At Fault Fourth Driver Details

Fields for a third at-fault vehicle/driver in multi-vehicle accidents.

Field NameTypeLinked Form / ModuleNotes
What_position_is_the_client1picklistValues: 1 / 2
Vehicle_Accident_Position1picklistValues: 1 / 2
At_Fault_Name1name (composite)Prefix and Suffix subfields are hidden; personal data field
At_Fault_Address2address (composite)Only Latitude and Longitude subfields are hidden; personal data field
At_Fault_Phone_Number2phonenumberPersonal data field
At_Fault_Driver_DOB2date
At_Fault_Driver_Email2emailPersonal data field
At_Fault_Vehicle_Make1text
At_Fault_Vehicle_Model1text
At_Fault_Vehicle_Registration1text
At_Fault_Vehicle_Year2number
At_Fault_Party_Insurer_Name1picklistInsurer_Form
At_Fault_Party_Policy2text
At_Fault_Party_Claim2text

At Fault Fifth Driver Details

Fields for a fourth at-fault vehicle/driver in multi-vehicle accidents.

Field NameTypeLinked Form / ModuleNotes
At_Fault_Name2name (composite)Prefix and Suffix subfields are hidden; personal data field
At_Fault_Address3address (composite)Only Latitude and Longitude subfields are hidden; personal data field
At_Fault_Phone_Number3phonenumberPersonal data field
At_Fault_Driver_DOB3date
At_Fault_Driver_Email3emailPersonal data field
At_Fault_Vehicle_Make2text
At_Fault_Vehicle_Model2text
At_Fault_Vehicle_Registration2text
At_Fault_Vehicle_Year3number
At_Fault_Vehicle_Damage3textarea
At_Fault_Party_Insurer_Name2picklistInsurer_Form
At_Fault_Party_Policy3text
At_Fault_Party_Claim3text

At Fault Owner

Field NameTypeLinked Form / ModuleNotes
At_Fault_Owner_Namename (composite)Prefix and Suffix subfields are hidden; personal data field
At_Fault_Owner_Addressaddress (composite)Address Line 2, Country, Latitude, Longitude subfields are hidden; personal data field
At_Fault_Owner_NumberphonenumberAllowed country: AU; personal data field
At_Fault_Owner_Licence_Frontimage
At_Fault_Owner_Licence_Backimage

Terms & Conditions

The live UI groups the remainder of the form's fields under further tabs/panels not broken out individually above. Grouped here by function rather than dumped in one table, to make cross-form duplication and structural patterns easier to spot (see Schema Findings & Redesign Notes).

Identifiers & Migration

Field NameTypeLinked Form / ModuleNotes
Field_Nametext
Create_File_NumberautonumberStarts at 1000001
Kratos_File_NumberautonumberStarts at 200000
Work_drive_IDtext
State_Law_ImportcheckboxPrivate field
Zoho_IDtext
claim_id_360number

Red Flag Tracking

Field NameTypeLinked Form / ModuleNotes
stella_statepicklistValues: NSW / VIC / QLD / SA / TAS / WA
Red_Flag_Notes (required)textarea
Red_Flag_Job_Datedate
Red_Flag_Job_Daystext
Why_is_this_job_a_red_flagtextarea

Booking & Lead Source

Field NameTypeLinked Form / ModuleNotes
Lead_Source_CompanylookupLead_Source_CompanyShown only when Lead_Source.Show_Lead_Source_Company is true
Assigned_Booker1picklistUser
Reschedule_Datedate
Date_Assigned_to_Claims_Consultantdate
Booking_DatedatePrivate field
Assigned_BookerpicklistUsers (built-in)Personal data field
Lead_SourcelookupLead_SourcePrivate field; drives conditional display of Lead_Source_Company, Referrer_User_Name, and Lead_Source_Reference_Number — see Lead Source
Lead_Source_Reference_NumbertextShown for all Lead Sources except "Company Referral"
Referrer_User_NamelookupUsers (built-in)Shown only when Lead_Source.Name = "Company Referral"; personal data field
Quick_LeadpicklistAdd_Quick_Lead
Booking_Assigned_TopicklistUser

Claim Status, Repair & Direct-Claim Workflow

Field NameTypeLinked Form / ModuleNotes
File_Handler_TestpicklistUsers (built-in)Personal data field; record owner field for this form
Delivery_DatedatePrivate field
Job_Taken_OnpicklistValues: Yes / No
Job_Taken_On1date
Attempt_Direct_Claimcheckbox
Reason_for_Direct_Claimtextarea
Direct_Claim_StatuspicklistValues: Direct Claim Required / Direct Claim In Review / Direct Claim Active / Direct Claim Settled / Direct Claim Rejected / Direct Claim Remitted
Update_Direct_ClaimpicklistUpdate_Direct_ClaimPrivate field
External_Client_RepairerpicklistValues: Waiting For Booking / Booked
Is_customers_vehicle_being_repaired_or_a_total_losspicklistValues: Repaired / Total Loss
Has_the_vehicle_been_purchased_from_a_clientpicklistValues: Yes / No
Rental_Only_Repairertext
Rental_Only_ETAdate
Detailed_Reason_for_the_Repair_Delaytextarea
Total_Loss_Notestextarea
Is_repairer_in_Crashclaim_Repair_networkpicklistValues: Yes / No
Does_repairer_have_authority_from_insuerpicklistValues: Yes / No
Recovery_Type (required)picklistValues: 3rd Party / Direct / CBR - At Fault / CBR - Not At Fault / CBR - Not At Fault Direct / Private Job / Free Loan Vehicle / Loan Car – Private Job / Client Private Jobs
Cross_Hirecheckbox
Potential_Direct_Claimcheckbox
Repair_Invoice_Datedate
Stella_Claim_StatuspicklistValues: Open / Closed Settled / Closed Withdrawn; private field
Update_CC_StagepicklistValues: Yes / No
Client_Vehicle_Locationtext
Redirect_TopicklistValues: Claim Rental View Details / CCR ATA Html
Claims_Management_StagepicklistValues: New Booking / New Claim / On Hire / In Repairs / Recovery / Litigation / Hearing / Settled / Remitted / Withdrawn/Closed / Cancel / Rejected

CBR Recovery Rental Fees

Field NameTypeLinked Form / ModuleNotes
CBR_Rental_Durationnumber
CBR_Daily_Rental_RateAUD (currency)
CBR_Excess_note2textarea
CBR_Excess_paid_Datedate
CBR_Excess_AmountAUD (currency)
CBR_Rental_Note_Fieldtextarea
Field NameTypeLinked Form / ModuleNotes
Com_s_AmountAUD (currency)
Related_ClaimslistClaim_Form (self-referencing)Multi-select
Drive_Legal_Referencetext
Claims_Management_FormpicklistClaims_Management_Form (↔ Claim_Form)Private field
Offer_DetailspicklistOffer_Details (↔ File_Number)Private field
Total_Loss_SettlementspicklistTotal_Loss_Settlements (↔ File_Number)Private field
Send_Images_Docs_to_DropboxpicklistSend_Images_Docs_to_Dropbox (↔ Claim_Form)Private field
Payment_PlanpicklistPayment_Plan (↔ Claim_Form)Private field
CommissionpicklistCommission (↔ File_Number)
Law_firm1listLaw_firm1 (↔ File_Number)Multi-select
Google_SheetpicklistGoogle_Sheet (↔ File_Number)
Claw_BackpicklistClaw_Back
File_SummarypicklistFile_Summary
Field NameTypeLinked Form / ModuleNotes
Add_Job_1picklistlogistics_app.Add_Job (↔ Claim_Form_V1)Private field
Add_Job_2picklistlogistics_app.Add_Job (↔ Claim_Form_2)Private field
Add_Job_3picklistlogistics_app.Add_Job (↔ Claim_Form_3)Private field
Add_Job_4picklistlogistics_app.Add_Job (↔ Claim_Form_4)
Add_Job_5picklistlogistics_app.Add_Job (↔ Claim_Form_5)
Add_Job_6picklistlogistics_app.Add_Job (↔ Claim_Form_6)
Add_Job_7picklistlogistics_app.Add_Job (↔ Claim_Form_7)
PRI_Job_Recordpicklistlogistics_app.Add_Job (↔ PRI_Claim_Form)Private field
Recto_Job_Recordpicklistlogistics_app.Add_Job (↔ Recto_Claim_Form)Private field
Loan_Vehicle_Claimcheckbox
Available_Fleetpicklistlogistics_app.Add_Car (filtered: Vehicle_Status == "Available" || Vehicle_Status == "Off Hire")
Parts_to_OrdersubformPart_Item_Request (↔ Claim_Form1)
Parts_to_RepairsubformParts_to_Repair (↔ Claim_Form)
Parts_List_not_Completed_NotestextareaStores concatenated notes history for claims with incomplete parts lists. Updated via "Update Parts List not Completed Notes" form. See Parts List Not Completed
Vehicle_Purchase_Request_IDpicklistlogistics_app.Vehicle_Purchase_Request
Latest_Job_Recordpicklistlogistics_app.Add_Job

Towing

Field NameTypeLinked Form / ModuleNotes
CAS_Tow_NeededpicklistValues: Roadside Tow / No Tow Needed / Trade Tow / Crashclaim Tow
Tow_OperatorpicklistTow_Operator
towing_company_and_locationstextarea

Icon & Person Assignment

Field NameTypeLinked Form / ModuleNotes
Add_IconspicklistAdd_IconsPrivate field
Select_PersonpicklistValues: Driver / Owner

Vehicle & Insurance Compliance

The first three rows here duplicate fields already documented under "Driver Details" / "Employer Details" / "Rental Need" above — pre-existing artifact of how the source doc's catch-all list was assembled, kept here to match the live grouping.

Field NameTypeLinked Form / ModuleNotes
is_Driver_the_same_as_ownercheckboxDuplicate — see Driver Details above
Are_you_currently_employedcheckboxDuplicate — see Employer Details above
Public_transport_is_not_suitable_for_me_because1 (required)listDuplicate — see Rental Need above. Multi-select. Values: Access to public transport is limited / I do not live near a station / I do not live near a bus stop
Auto_Grabcheckbox
VINtext
Date_Registration_Papers_Uploadeddate
Registered_for_GSTpicklistValues: Yes / No
Do_you_have_Ceramic_OR_Paint_ProtectionpicklistValues: Yes / No
Are_you_insured (required)picklistValues: Yes / No
Claim_Numbertext
Policy_Renewal (required)radiobuttonsValues: Exact date is available / Approximate date available
Renewal_Date (required)picklistValues: Next 1 month / Next 2 months / Next 3 to 6 months / Next 7 to 12 months
Exact_renewal_date (required)date
Customer_Insurance_Schedule1upload file
Auto_Grab_API_LogpicklistAuto_Grab_API_Log
Client_Insurance_Policy_Expiry_Datedate
Field NameTypeLinked Form / ModuleNotes
I_give_Crash_Claim_authority_to_recover_any_costs_from_my_insurer_if_a_3rd_party_recovery_is_unsuccheckbox
Reformat_Accident_Description_with_AIcheckbox
Reformat_Damage_Description_with_AIcheckbox

Baby Seat Damage & Reimbursement

Field NameTypeLinked Form / ModuleNotes
Baby_Seat_Installed (required)picklistValues: No / Yes
Baby_Seat_DamagedpicklistValues: No / Yes
Number_of_Damaged_Baby_SeatspicklistValues: 1 / 2 / 3
Seek_ReimbursementpicklistValues: Yes / No
Invoice_of_Baby_Seatimage
Damaged_Baby_Seat_Imageimage
Damaged_Baby_Seat_Image_2image
Damaged_Baby_Seat_Image_3image

Witnesses & Police

Field NameTypeLinked Form / ModuleNotes
Witness_Police_DetailssubformEmbedded subform, columns: WHo (picklist, values: Witness / Police), Name (text), Phone_Number (phonenumber, personal data), Email (email, personal data), Notes (textarea)

Liability Confirmation

Field NameTypeLinked Form / ModuleNotes
How_was_liability_confirmtextarea
Was_liability_admitted_on_a_recorded_linepicklistValues: Yes / No
Has_Liability_been_confirmedpicklistValues: Yes / No; default: No
How_was_liability_confirmedpicklistValues: TP Insurance / Fault Driver Admitted on a Recorded Line / Fault Driver In writing. SMS/Note/Email / Dash Cam CCTV
Upload_the_File_for_Evidenceupload file
Has_the_accident_been_reported_to_the_Fault_Party_insurance_companypicklistValues: Yes / No
Pending_ReasonpicklistValues: Need to confirm Liability / Awaiting Fault Driver Insurance Type / Dispute Liability / Awaiting DD Search / Awaiting RMS Search / Awaiting Further deatils from the Client / Others
Need_to_confirm_LiabilitypicklistValues: TP Insurance / Fault Driver / Both Above / Other
Dispute_LiabilitypicklistValues: A Reason / B Reason / C Reason
Awaiting_Fault_Driver_Insurance_TypepicklistValues: Yes / No
Awaiting_DD_searchpicklistValues: Yes / No
Awaiting_RMS_SearchpicklistValues: Yes / No
Awaiting_further_details_from_the_clientpicklistValues: Need More TP details. / Need Identification / Awaiting Witness Details

The remaining "2nd–4th at-fault party" fields the old flat list carried here are omitted to avoid duplication — see the dedicated "At Fault Third/Fourth/Fifth Driver Details" sections above, which already cover every one of those fields (plus At_Fault_Party_Insurer and Is_the_At_Fault_driver_the_owner_of_the_vehicle, covered under "At Fault Driver Details" above).

Field NameTypeLinked Form / ModuleNotes
plain1plaintextStatic legal text: recovery-agent authority and 3rd-party cost recovery clause
Accept_Terms_Conditions1checkbox
Show_Signature_Fieldscheckbox
Who_is_signing_the_formspicklistValues: Driver / Owner; default: Driver
Signature1 (required)signaturePersonal data field
Date_Signeddate
Send_Client_DocspicklistValues: Yes / No; default: No; private field
Dashcam_RecordingpicklistValues: No / Yes; default: No
Is_Signature_UpdatedpicklistValues: Yes / No; default: No; private field
css_style_plainplaintextStatic placeholder text ("Add your Note here ...")
Show_ATA_Signature_SectionpicklistValues: Yes / No; private field
ATA_Signature (required)signaturePersonal data field
ATA_Signature_DatedateDefault: today
plainplaintextStatic placeholder text ("Add your Note here ...")
Owner_public_SignaturepicklistValues: Yes / No
Show_Owner_ATA_SectionpicklistValues: Yes / No; default: No; private field
Decision_box_1checkbox
Decision_box_2checkbox
Decision_box_3checkbox
Decision_box_4checkbox
Decision_box_5checkbox
Owner_ATA_SignaturesignaturePersonal data field
Owner_ATA_Signature_DatedateDefault: today
forATAReportpicklistValues: Yes / No

Demands, Remittance & Settlement

Field NameTypeLinked Form / ModuleNotes
Repair_Rental_remittancepicklistValues: Yes / No; default: No
Repair_Rental_SettlementpicklistValues: Yes / No; default: No
Repair_DemandpicklistDemands
Rental_DemandpicklistDemands
Tow_Demands_1picklistDemands
Tow_Demands_2picklistDemands
Insurance_Excess_Demand_1picklistDemands
Insurance_Excess_Demand_2picklistDemands
Storage_Demand_1picklistDemands
Shortfall_1picklistDemands
Shortfall_2picklistDemands
Supplementary_Repair_1picklistDemands
Supplementary_Repair_2picklistDemands
Fleet_Repair_DemandspicklistDemands
Is_All_Demand_Settledcheckbox

Cancellation & Claim-Type Change Tracking

Field NameTypeLinked Form / ModuleNotes
Cancelled_By_UserpicklistUser
Is_cancelled_by_migration_donecheckbox
Cancelled_or_Approved_BypicklistUser
Cancellation_Reasontextarea
Cancellation_Date_Timedatetime
Claim_type_change_requested_bypicklistUser
Claim_Type_Change_Approved_Reject_bypicklistUser
Is_Claim_Inactivecheckbox

Audit Trail (Assignment & Actioned-By)

Field NameTypeLinked Form / ModuleNotes
Validated_By_UserpicklistUser
Booked_By_UserpicklistUser
Claims_Consultant_by_UserpicklistUser
Via_CAS_APIcheckbox
Follow_Up_Datedate

Submission Timestamps

Field NameTypeLinked Form / ModuleNotes
Claim_Form_Submission_Timedatetime
Claims_Signature_Timedatetime

UI / Layout Fields (not business data)

Field NameTypeLinked Form / ModuleNotes
Refresh_ScreenpicklistValues: Yes / No
Page_ViewtextPrivate field