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Financial Portal Investor

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Loan repayment insurance claim notice

Notifier details

1

First name

Last name

Personal identification code issuer

Personal ID code

Personal ID code / date of birth

E-mail

Phone number

2

I am an insured person

Yes

No

Insured person

First name

Last name

Personal identification code issuer

Personal ID code

Personal ID code / date of birth

E-mail

Phone number

Add more insured persons

3

Damage cause

Incident date

Description of the cause of the incident

0/1000

Additional information and confirmations

4

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.