Car insurance (as the insured person)

Online communication does not substitute a written notification of damage (signature required), it only serves as information about the damage.

Warning: Do not insert any attachments into the online application.

Complete this notification and submit it electronically. You will receive a copy of the notification to the email address specified by you. All fields marked with asterix - * - are required

The insured vehicle
The notifying person
Insured person
Description of the event
The driver of the insured vehicle at the time of the accident
Damaged person
Information about the damaged vehicle
Witnesses
Notes