Claim

Fill out the form below to declare a damage and/or theft.

In order to verify your identity, please enter the following details exactly as they figure on your contract.

Phone number

IBAN

BIC

The victims declare that they agree that any compensation will be paid to the bank details above.

Please select the type of incident (you can also select both, if your bike was damaged and stolen).

Incident type

Damage

Theft

Date (DD.MM.YYYY)

Time (hh:mm)

Location

Description

Whereabouts

Were there any eye witnesses?

Yes

Damage description

Have you made a statement at the police?

Yes

Do you have another insurance covering the same risk?

Yes

I confirm the information given above is true, complete and accurate. I also acknowledge that the official communication medium is email.