File a Claim

Before you submit your claim, check out the:

4 USEFUL TIPS TO A SPEEDY CLAIMS PROCESSING
1. Your Accident Report

Fill out every space as completely as possible. In your description of “What Happened”, please include the road conditions, time of day, weather conditions, what property may have been damaged, injuries and contact details of the opposite party and the info of their insurance, as well as, anything and everything else that concerns the incident.

2. Customers with LRP (Loyalty Repair Program)

Check out our Loyalty Repair Program that will provide you – in each case agreed with us – with a loaner car free of charge for up to 21 days (except total loss cases). In case you have no LRP incl. you can contact us and ask for advice.

3. Please send us a copy of the MP report / Polizei-Report

Please note that this report is required for every claim if a third party is involved or other property has been damaged.

4. Authorization by your Lien holder

If there is a lien on your vehicle, the lien holder is formally entitled to all compensation payments. Also, the lien holder is required to be involved in the claims management procedure.

Please call your agent if you have any questions!

Fill out this form in order to provide us with a detailed explanation of your case.

Personal Information
Name of Policy Holder*
Policy Number*
Email*
Phone Number*
Vehicle Information
Year, Make, Model*:
License Plate Number*:
Is your vehicle damaged?*YesNo
Where is the damage?
What are the estimated repair costs in EUR, if known?
Is your vehicle still driveable?YesNo
Where is the car now?
Have there been any damages to your vehicle prior to this incident?*(whether repaired or not)?YesNo
Who did finance your vehicle? (lien holder):
Lien holder phone number:
Lien holder fax number:
Accident Information
Accident Location Address*
Accident Location Address (further specs)
City*
Postal / Zip Code*
Country*
When did the accident happen?*
HH
MM
Who was driving?*
Driver's date of birth:*
Driver's license number:*
Has the accident been reported to the MP or German police (Polizei)?*YesNo
If available, paste or upload the police report here
Were you driving under the influence of alcohol?*YesNo
Were you driving under intoxication of drugs?*YesNo
Claimant Information
Are there any witnesses to this accident?YesNo
Please provide us with the witness(es)'s contact information
Was there anybody else involved in the accident?*YesNo
Please provide us with the third party's contact information
Where is the damage?
Do you know where the vehicle is insured?
Is this person claiming against your insurance?YesNo
Did this person drive under intoxication of alcohol or drugs (DUI)?YesNoDon't Know
Did you hit anything else? (e.g. a guard rail)?*YesNo
What did you hit?
Is it damaged?
Are there any injured third parties?*YesNo
Please provide us with the injured party's contact information
Do you think the accident was caused by yourself?YesNo
Would you like to claim damages yourself?YesNo
Please give us a short description of what happened:*

Upload pictures of the accident scene, damages, and the police report below. (Limit up to 3 files, 5MB each.)

Please confirm your information:*I confirm the duty of truthfulness**
Data Processing:*I have read and understood the Privacy Statement.

If you have any further questions, please call our claims department: +49 221 925488-78.

**DUTY OF TRUTHFULNESS

Dear customer, please be advised that if you do not give us truthful information with deliberate intention or no information at all or do not make the respective bills and receipts available to us, you will lose your entitlement to your insurance benefit. If you violate these obligations in a grossly negligent manner you will in fact not lose your entitlement completely but we can cut our benefits in relation to the severity of your fault. The benefits will not be cut if you can prove that the obligation was not violated in a grossly negligent manner. If you violate the obligation for information or support or for the delivery of bills and receipts fraudulently, no actions shall lie against the insurance company.