Notification of claim for moving insurance

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 to attach documents?

Are you the policyholder?

Yes
No
Mr.
Ms.

What is the Wincasa case identification?

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?

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