Report a claim - Assuria Verzekeringen

Report damage

Fill out the form below if you want to submit a claim.

What damage would you like to report to us?

Examples of business insurance: AVBB, AGAB, Transport & boat, Fraud & robbery

Name of policyholder *

Policy number *

E-mail adress *

Phone number of contact person *

Date of damage *

Time of damage *

Address of damage *

Short description of damage *