Tema
Debat

You must fill in and send the electronic forms below if you want to report damage or damage caused by uninsured unknown speedboats, jet skis and similar vessels.

 

The claim report is received by FSV. We will contact you and explain the further progress of the case once we have received your claim report.​

 

 

If you have questions about the damage report, you can contact us on tel. +45 41 91 90 19, weekdays,

Monday-Thursday from 8.30 AM. to 4.00 PM and Friday from 8.30 AM to 3.00 PM.

 

 

 

{{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
  • Contact
Din browser er forældet, Du bør opdateres til en moderne browser. Læs mere her.