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Claims service

The fields provided with * are optional and do not have not to be filled out.

Partner / Insured (For further future enquiries please also register also your contact address.)
Name:
Company:
Street:
Postal code and City:
Telephone:
eMail:
Insured: *
Policy-No.: *


Data Information
Date of loss:
Place of loss:
Where can the aircraft be inspected?:
Responsible person / pilot:
Type of aircraft:
Registration:
Damage to the aircraft: yes    no
Third Party damage (Liability): yes     no
Personal injuries to passengers: yes     no
Description of loss occurence:
capchaPlease enter the characters from the image into the box below:


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