Apartment association 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

Policyholder's data

Apartment association name

Registry code issuer

Registry code

The policyholder's contact details are the same as those of the notifier

E-mail

Phone number

Policy number

Insured event

Accident date

Time

Country

Address

Venue additional information

Please add information about the location as accurately as you know

Cause of damage

Loss event description

0/1000

Who was notified?

Notification Date

Contact details of the notified person or authority

0/500

Loss event data

Damaged object

Personal information is known

Yes

Person type

Individual

Company

First name

Last name

Company name

Personal ID code issuer

Registry code issuer

Personal ID code

Personal ID code / date of birth

Registry code

E-mail

Phone number

Damaged apartment address

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.

Apartment association claim notice

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