Home claim notice

Notifier details

First name

Last name

Personal ID code issuer

Personal ID code

Personal ID code / date of birth

E-mail

Phone number

The person reporting is the policyholder

Yes

Policyholder type

Private person

Legal person

First name

Last name

Company name

Personal ID code issuer

Personal ID code

Personal ID code / date of birth

Registry code

E-mail

Phone number

Insured event

Accident date

Time

Country

Address

Venue additional information

Damage was caused by

Why and how did the damage occur?

0/1000

Who was notified?

Notification Date

Contact details of the notified person or authority

0/500

Loss event data

Damaged item

The building to which the utility system is connected

Personal information is known

Yes

Person type

Private person

Legal person

First name

Last name

Personal identification code issuer

Personal ID code

Personal ID code / date of birth

E-mail

Phone number

Company name

Registry code issuer

Registry code

E-mail

Phone number

First name

Last name

Personal identification code issuer

Personal ID code

Personal ID code / date of birth

E-mail

Phone number

Property type

Purchase / Installation time

Description of damage

0/1000

Damage cost estimation

Add more damaged items

Indemnity

I request an indemnity for the incurred damages

Yes

Beneficiary

Bank account number

Additional information and confirmations

Additional information

0/1000

I confirm the accuracy of the above data and agree to the processing of my personal data by LHV Kindlustus in accordance with the principles of LHV customer data processing.

I know that if I knowingly submit wrong data, then insurer has the right to decrease compensation or refuse to pay compensation completely.

I agree that insurer has the right to request additional information concerning the claim from persons that possess it.