Report Damage

Service Center

Do you have to report a claim? Then simply use our claims service and please fill out the following form completely. Please also provide a telephone number where we can reach you so that we can contact you quickly in the event of any queries. If it is a liability claim, please give the full address of the injured party. Please also state who caused the damage and their date of birth. In the case of damage caused by children, this is important for the examination of the liability for damages.

Your First Name *

Your Last Name *

Street, House Number *

Zip Code, City *

Telephone Number *

Email *

Insurance Number

Which insurance would you like to report a claim to?
Insurance
Other

Type of Damage:
Damage
Other

Information on the damage:

Damage Day

Time

Damage amount In Euros:

For Liability Claims:

Damaged persons:

Damage Location:

Street, House Number

Postcode / Town

Brief Description of The Damage *

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Report Damage

Report Damage

Official info:

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