Breakdown Request Form - UK Traffic Updates

⚠️ IN IMMEDIATE DANGER? CALL 999 | BLOCKING MOTORWAY? CALL 0300 123 5000

👤 Your Details

Full Name *

Phone Number *

Providers will call or text you directly

Email Address *

Your Location *

Be as specific as possible to help providers find you

🚙 Vehicle Information

Vehicle Registration *

Vehicle Type *

Make & Model (optional)

🔧 What's the Problem?

Problem Type *

Please Specify

Urgency Level *

🔴

URGENT

Blocking traffic or unsafe

🟡

TODAY

Need help within hours

🟢

SCHEDULED

Book an appointment

Preferred Appointment Time

From Date/Time

To Date/Time

Additional Information (optional)

0 / 300 characters

📸 Photos (optional but helpful)

Upload photos to help providers assess the situation faster

📤

Drag & drop photos here or click to browse

Vehicle, problem, location, dashboard (max 5 files, 20MB total)

✓ Confirmation & Consent

I confirm this is a genuine breakdown request * I consent to my details being shared with service providers * I understand providers will contact me directly *

⚠️ Important Service Disclaimer

UK Traffic Updates is a connection platform only. We connect stranded drivers with independent recovery service providers.

We are NOT responsible for:

Quality of work performed by providers
Pricing, quotes, or charges
Response times or availability
Any damage, injury, or loss
Disputes between you and providers

You understand that:

Providers are independent businesses
You contract directly with the provider
Payment is made directly to provider
You should verify credentials before accepting service

Your Responsibilities:

Verify provider's identity when they arrive
Agree on pricing before work begins
Ensure your safety at all times

I have read and agree to the disclaimer above *

Typical response time: 15-30 minutes

🚗 Breakdown Request

👤 Your Details

🚙 Vehicle Information

🔧 What's the Problem?

Preferred Appointment Time

📸 Photos (optional but helpful)

✓ Confirmation & Consent

⚠️ Important Service Disclaimer