New policy Online payment MyHealth About Claims Offices and Contacts Get in touch

Property Insurance claim

Policy holder

Policy holder:*

Personal ID:*

With policy №:*

Request type

The Policy holder in the Claimant:

Yes

Claimant:*

Personal ID of the Insured person:*

Address*

Email*

Phone*

Event and request:

Date:*

Address of the event*

Short description of the event*

Short description of the damage*

Damage size:*

Attached files (up to5):*

File to upload Attach an image

The maximum file size is {2}MB.

Attached files (up to5):*

File to upload Attach a document

The maximum file size is {2}MB.

Bank certificate:*

File to upload Attach a file*

The maximum file size is {2}MB.

I declare that for the damages sustained:*

I have not received compensation;

have received a compensation

From:*

Amounting to BGN:*

I declare that for the damaged property:*

I don’t have a valid policy with another insurer

I have a valid insurance

With (company):*

With policy №:*

Bank information of the insured person:

IBAN:*

||||||||||||||||||||||

BIC:*

|||||||

Confirmation:

This form must be completed in accordance with Article 380 (1) of the Insurance Code: “The person, who wishes to receive insurance compensation, is obliged to submit an insurance claim to the insurer. The person is required, along with the submitted claim, to provide complete and accurate bank account details to which the insurer can make payments, except in the case of reimbursement in kind”

I am aware of the fact that, for the incorrect data I have indicated in this declaration, I have a criminal responsibility under Art. 313 of the Criminal Code.

Successfully sent!