OKINAWA RENT-A-SA

Accident / Breakdown Report

Move to a safe place, then enter what you know.

In an emergency, call before entering detailsIf anyone is injured or in danger, call 119, 110, or Accident Support first.

POLICE 110 AMBULANCE / FIRE 119 ACCIDENT SUPPORT

Driver namePhone numberReport typeSeverityVehicle number (last 4 digits)Date and timeLocation typeCurrent location / landmark

Current situationCan the vehicle move?InjuriesOther partyPolice contactedReplacement vehicle

Replacement availability and charges depend on your coverage, the incident, and available vehicles. If the rental vehicle cannot be used and you do not take a replacement, the rental agreement ends. The shop does not provide transportation; please arrange your own onward travel.

Main damage areaScene / vehicle photosSafety comes first. If it is difficult, photos from a safe distance are fine.Additional details