Motor Third Party
Liability Insurance

Third party notification of the event

EVENT INFORMATION

Event circumstances*

INFORMATION ABOUT LIABLE VEHICLE


INFORMATION ABOUT THIRD PARTY


SUPPORTING DOCUMENTS ( PROVIDE AVAILABLE ACCORDING TO THE LIST)

The size of a single attached document should not exceed 5MB, and the maximum size of all documents should not exceed 30MB. Allowed file types: pdf, jpg, doc, xls, rar, zip, 7z, bmp, png.


DETAILS OF THE NOTIFIER


PLEASE CHOOSE THE METHOD OF COMPENSATION:


* - Mandatory fields