Notification of the collision insurance event

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

Insured person
Description of the event
Investigation of the event
Prohlídka - v případě poškození pouze čelního skla, pořídí fotodokumentaci přímo servis.
List of any damaged, destroyed or stolen items