Advice of a claim

If you would like to present us a claim, you can fill out the form below. We will get in touch with you, as soon as possible. No need to leave your home.


Advice Note: Please fill out the form, being as specific as possible. All the fields marked with a (*) have to be filled out. The more information you can provide us, the better we can handle your case. Please, make sure you added your contact details before you submit the form.

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  • Claim specifications

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  • Personal claim

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  • Claimant / other party

    Material damage

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  • Claimant / other party

    Injury to persons

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  • All information is complete and veridic and was filled in conscientiously!

     



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