Damage report If you are a human and are seeing this field, please leave it blank. Fields marked with a * are required. Please note that the online damage reports are processed during our office hours (Monday to Friday: 7:30 to 12:00 / 13.00-17.00 clock). In case of emergency you can reach us the 0800 815 815 The online damage report is currently not available, please contact us on the free number 0800 815 815 How did the damage occur? * Date on which damage occurred * What has been damaged? * What floors were affected? * Attachment (photos, records, reports, etc.) Address of damaged building Designation Street/No. * ZIP code * City * You are the... * InsuranceProperty managerOwnerLodgerOther Insurance Property manager Your personal details Company Company Street/No. PO box ZIP code City Lodger Owner Responsible: Last name / First name Last name / First name Email address Telefon Do you live at the address damage? YesNo Street/No. ZIP code City Owner/Policyholders Owner Owner /Property manager Known owner Company Last name / First name Street/No. ZIP code City Phone number Damage case number Policy number Insurance Known insurance Insurance Street/No. ZIP code City Responsible: Last name / First name Phone number Damage case number Policy number Contact person on site Last name / First name Phone, mobile Additional information Yes, I hereby confirm that I consent to the general terms and conditions/privacy policy. *