Claims report Motor vehicle

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Are you the policyholder?

When did you notice the damage?

License plate of the damaged vehicle

Specify the brand/type of the damaged vehicle

We require the following details about the policyholder for identification purposes

We require the following details about the policyholder for identification purposes

Please specify the policyholder's contact details

Information on the vehicle

Policyholder

Enter vehicle details

Check your coverage

Check your coverage
  • Covered – The damage you reported is covered by your policy.
  • CHF XXX – Your deductible in this case.
  • Premiums – The claim does not impact your premiums.

Has the vehicle already been repaired?

Please upload the payment slip of the biller together with the invoice in one document.

You have almost completed the form.

Are you the policyholder?

Who are you?

First name

Last name

Company

Telefon

Date

License plate

Brand

First name

Last name

Date of birth

Company

Policennummer

Phone number

Email address

Make/type

Specify the brand and type of vehicle

Title

Name

Contact person

First name

Last name

Date of birth

Postcode

Place

Policennummer

Phone number

Email address

Marke/Typ

Info1

Info2

Info3

Has the vehicle already been repaired?

Would you like to upload the repair invoice?

Upload

Payment goes to

IBAN

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