Tema
Debat

Notice of claim - speedboats and jet skis

You must complete and submit the electronic form below to report any damages caused by uninsured or unknown speedboats, jet skis and similar vessels. 

 

The notice of claim will be received by FSV. We will contact you and inform you of the progress of the case once we have received your notice of claim.​

 

{{headline_insured}}

{{name}}
{{address}}
{{postal}}
{{position}}
{{phone}}
{{email}}
{{are_you_vat_registered}}
{{who_is_claiming}}
{{name}}
{{address}}
{{postal}}
{{phone}}
{{email}}
{{name}}
{{address}}
{{postal}}
{{phone}}
{{email}}

{{information_about_the_accident}}

{{address}}
{{postal}}
{{information_accident_place_description}}
{{when_did_the_accident_happen}}
{{country}}
{{describe_the_accident}}

{{damage_to_the_vessel}}

{{has_your_vessel_been_damaged}}
{{describe_damage}}
{{hull_number}}
{{model_brand}}
{{year}}
{{vessel_in_company}}
{{vessel_comprehensive_insurance}}
{{insurance_company}}

{{the_master_of_the_vessel}}

{{is_the_master_the_same_person_as_the_insured}}
{{cpr}}
{{name}}
{{address}}
{{postal}}
{{position}}

{{personal_injury}}

{{was_there_any_personal_injury}}

{{Person}} 1

{{button_add_person}}
{{cpr}}
{{name}}
{{address}}
{{postal}}
{{do_you_have_accident_insurance}}
{{accident_insurance_company}}
{{been_to_emergency_room}}
{{work_related_injury}}
{{member_denmark}}
{{sick_leave_accident}}
{{sick_leave_from_date}}
{{to_date}}
{{still_on_sick_leave}}
{{information_about_work_situation}}
{{professional job}}
{{job_title}}
{{information_work_before_accident}}
{{number_of_hours_per_week}}
{{full_pay_during_illness}}
{{received_sickness_benefit}}
{{describe_current_problems}}
{{received_or_are_you_still_receiving_treatment}}
{{describe_the_treatments}}
{{name_address_general_practitioner}}
{{other_info_treatment}}
{{describe_person_damage}}

{{damage_to_property}}

{{was_there_any_damage}}
{{describe_item_damage}}
{{family_home_insurance}}
{{if_yes_which_company}}

{{the_other_party}}

{{known_other_party}}
{{name}}
{{address}}
{{postal}}
{{country}}
{{additional_info_other_party}}
{{model_brand}}
{{hull_number}}
{{year}}
{{insurance_company}}
{{policy_number}}
{{who_has_the_information}}
{{is_other_party_hidnrun}}
{{other_information}}

{{police_report}}

{{accident_reported_police}}
{{police_jurisdiction}}
{{police_station}}
{{police_journal_number}}

{{witnesses}}

{{witnesses_to_the_accident}}

{{witness}} 1 {{add_witness}}

{{name}}
{{address}}
{{postal}}
{{phone}}
{{email}}
{{location_witness}}

{{more_information}}

{{banking_details}}

{{send_money_bank}}
{{send_money_nemkonto}}
{{regno}}
{{accountno}}

{{documentation}}

{{attach_relevant_documentation}}
{{morefiles}}
  • Philip Heymans Allé 29, 2900 Hellerup
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