Casco claim

Claim application
for casco insurance

Report a claim | Casco insurance | If Insurance

Who is reporting?

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Only latin characters allowed

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Only latin characters allowed

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Check the phone number

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Check the e-mail address

I do not have e-mail address

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Claim applicant

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Check the phone number

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Check the e-mail address

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Glass claim
Mediator representative

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Claim applicant

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Only latin characters allowed

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Only latin characters allowed

Required

Required

Check the phone number

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Check the e-mail address

I do not have e-mail address

Name {{ model.submitter.name }}

Surname {{ model.submitter.surname }}

ID code {{ model.submitter.code }}

Phone number {{ model.submitter.phoneNumber }}

E-mail {{ model.submitter.email }}

Name {{ model.submitter.name }}

Company reg. code {{ model.submitter.code }}

Claim applicant

Name {{ model.submitter.contact.name }}

Surname {{ model.submitter.contact.surname }}

ID code {{ model.submitter.contact.code }}

Phone number {{ model.submitter.contact.phoneNumber }}

E-mail {{ model.submitter.contact.email }}

Name {{ model.repairshop.name }}

Company reg. code {{ model.repairshop.code }}

Mediator representative

Name {{ model.repairshop.representative }}

Phone number {{ model.repairshop.phoneNumber }}

E-mail {{ model.repairshop.email }}

Claim applicant

Name {{ model.submitter.name }}

Surname {{ model.submitter.surname }}

ID code {{ model.submitter.code }}

Phone number {{ model.submitter.phoneNumber }}

E-mail {{ model.submitter.email }}

Persons and vehicles involved in this accident

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Please add as much information as you know
Vehicle information

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Your vehicle information Applicant vehicle information Vehicle information

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Other vehicles

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Please add as much information as you know
Vehicle {{ $index + 2 }}

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Required

Vehicle information

Check the phone number

Check the phone number

Did you drive a car? Yes Did claim applicant drive a car? Yes

Vehicle information

Name {{ model.mainVehicle.driver.name }}

Surname {{ model.mainVehicle.driver.surname }}

ID code {{ model.mainVehicle.driver.code }}

Phone number {{ model.mainVehicle.driver.phoneNumber }}

E-mail {{ model.mainVehicle.driver.email }}

Did driver of that vehicle cause the accident? Yes No

Was driver drunk? Yes No

Did you cause the accident? Yes No Did claim applicant cause the accident? Yes No

Were you drunk? Yes No Was claim applicant drunk? Yes No

Your vehicle information Applicant vehicle information {{ model.mainVehicle.brandName }} {{ model.mainVehicle.modelName }} ({{ model.mainVehicle.registrationNumber }})

Vehicle information

Vehicle number {{ model.mainVehicle.registrationNumber }}

Brand {{ model.mainVehicle.brandName }}

Model {{ model.mainVehicle.modelName }}

Did more vehicles participate in the accident?
Vehicle

Vehicle number {{ vehicle.registrationNumber }}

Brand {{ vehicle.brandName }}

Model {{ vehicle.modelName }}

Vehicle information

Name {{ vehicle.driver.name }}

Surname {{ vehicle.driver.surname }}

ID code {{ vehicle.driver.code }}

Phone number {{ vehicle.driver.phoneNumber }}

E-mail {{ vehicle.driver.email }}

Vehicle number {{ model.mainVehicle.registrationNumber }}

Brand {{ model.mainVehicle.brandName }}

Model {{ model.mainVehicle.modelName }}

Accident description

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Date not valid

Date can not be in the future

Check the date

Correct time format is: 12:15

Time can not be in the future

Description of the accident {{ model.accidentDescription != undefined ? model.accidentDescription.length : 0 }} / 1000

Required

Location of the accident

Date and time of the accident {{model.accidentDate | hkDate }} {{model.accidentTime | hkTime }}

Description of the accident

{{ model.accidentDescription }}

Location of the accident

Country {{ model.accidentLocation.country }}

{{ model.accidentLocation.address.formattedAddress }}

Location description

{{ model.accidentLocation.description }}

Additional information

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Required

Value must be number

Additonal comments {{ model.comments != undefined ? model.comments.length : 0 }} / 1000
Additional information {{ fileUploadProperties.pendingFilesCount + fileUploadProperties.uploadedFilesCount }} / {{ fileUploadProperties.maxFilesCount }}
File count limit reached. Some files has not been uploaded.
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Drop files here or click to upload
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Privacy notice

If Insurance collects and processes personal data submitted with the claim and through the claims handling process according to the Privacy policy among other things: 1. handle the claim and decide on the insurance indemnity; 2. to request information about the claim event from state and local government and other persons; 3. to contact you.

ADVANTAGES

  • We have reliable and transparent co-operation with companies all over Estonia
  • Ninety percent of our clients evaluate our claims handling process as ‘good’ or ‘very good’.
  • If you have questions call us 24/7 by phone +372 777 1211.