Claims report Engineering insurance

1When and where did the loss/damage occur?
2How did the damage occur?
3What damage occurred?
4How high do you estimate the damage?
5Was the damage reported to the police?
6If the damaged items are not at your address: Where can they be inspected?
7Would you like to attach documents?
8Are you the policyholder?
9What is the policy number?
10Policyholder
11What are your payment details?
12Would you like to notify us about something else?
13Almost done

When and where did the loss/damage occur?

Date

Country

How did the damage occur?

What damage occurred?

How high do you estimate the damage?

How high do you estimate the damage?

Was the damage reported to the police?

If the damaged items are not at your address: Where can they be inspected?

Would you like to attach documents?

Select a file

Upload file

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Are you the policyholder?

You are

What is the policy number?

Policyholder

Title

Contact person

Title

What are your payment details?

Payment types

Are you the policyholder?

Would you like to notify us about something else?

Almost done

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