800,000+ customers
27 locations
92% recommend us

Download claim form

When you purchase car insurance, along with the insurance policy, you will receive a claim form from the insurer. It is handy to keep this in the glove box of your car, so you always have it handy in case of damage. Do you sustain car damage after a collision? Then you and the other party fill out the front of the claim form together. If you can no longer find the claim form or have already used it once, you can also download and print the claim form online.

Car insurance? Calculate your premium!

Download claim form

Download European claim form pdf

Always have a claim form in the car. In the unlikely event something happens, you can properly deal with the other party. Don't have a claim form (anymore)? Then you can download an online claim form from our website. You can print it out and keep it in your car.

Car insurance? Calculate your premium!

When should I fill in a claim form?

You fill out a claim form immediately after the accident has occurred. It is best to fill out the claim form immediately after the accident because that is when you can best remember exactly what happened. The European claim form contains 14 questions about the accident and damage, as well as about the vehicles involved and their drivers. In addition, the form consists of an explanatory note, an original claim form and a carbon copy of this form. You fill out the front together with the other party. You can also fill out the back side at home if necessary. Both parties need a claim form to send to their own insurance company. Keep in mind that when you download and print a claim form, it obviously does not print through. So you have to fill out the claim form twice in that case: both for you and for the other party.

Damage report form not downloaded? Report damage via the app!

You can also choose to report the claim through a mobile app. In that case, you don't have to download and send in a claim form. You report car damage by downloading the app Mobielschademelden. nl onto your smartphone. Via the app, you can fill in the European damage form digitally. Moreover, you can also take photos of the damage immediately and add them to the app. You can complete the app together with the other party on one cell phone. The other party further confirms the report using an SMS code. Once you have reported the damage through the app, you no longer need to send in a paper claim form. Almost all insurers participate in the app. Eventually, it is also intended that the app will completely replace the paper form.

Calculate your car insurance premium right away!

Now with free recovery service
  • To calculate premiums, we need the zip code of the primary driver. For private use, the youngest driver must reside at the same address as the applicant. In case of business use, you can enter the postal code of the company here.

We can be reached via Chat, Whatsapp, phone or email

Please feel free to contact us if you would like to know more.
We are here Monday to Friday from 08:00 to 18:00.

get in touch