Claims report Household contents

When and where did the loss/damage occur?

How did the damage occur?

Please enter the information about damaged property here

How high do you estimate the damage?

Has the damage already been repaired?

Yes
No

Would you like AXA to arrange for the repair?

Yes
No

We can refer you to competent

  • building dryers
  • renovators
  • painters
  • floorers
  • carpenters
  • glaziers

We can refer you to competent

  • glaziers
  • plumbers

Would you like to attach documents?

Are you the policyholder?

Yes
No
Mr.
Ms.

What is the policy number?

Policyholder

Mr.
Ms.
Company

Contact person

Mr.
Ms.

What are your payment details?

Bank account
Postal account
ESR (payment slip with reference number)
Yes
No

Please note: You can attach all open ESR invoices at the end of the claims notice.

Would you like to notify us about something else?

You have almost completed the form

Private customer registration for myAXA

You too can now benefit from our myAXA client portal

Here you will find an overview of your claim and the processing of your current claim.

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No
I agree to the terms of use.
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