CLAIM NOTIFICATION

If you have had an accident, please fill out the form below and send it to us.
You will then be contacted by Søassurancen Danmark, who will process your claim.
If you have any questions, you can always call us at 70214242.

Claim notification

Your information
Member number:*
Policy number:*
First Name:*
Last name:*
Address:*
Zip code:*
By:*
Phone:*
Email:*

Damage course
Injury date:*
Time of day:
Weather conditions at the time of damage:
Has the damage occurred during racing?
- YES
- NO

Your boat details
Boat name:*
Boat make/model:*
Hull number:*
If you do not know the hull number of your boat, please enter the boat name and home port.
How did the damage occur?
Description of the extent of the damage:

Driver of the boat when the damage occurred:
Is the boat insured with another company:
If YES, which company:
Policy number:
What is the cause of the damage:
Who is responsible for the damage:

Counterparty information
First name:
Last name:
Address:
Postal code:
By:
The name of the boat:
Boat make/model:
The other party's insurance company:
Policy number:

Statement - Witness 1
Information
- I declare that the above information is in accordance with the facts.
First name:
Last name:
Address:
Postal code:
By:
Phone:
Email:

Statement - Witness 2
First name:
Last name:
Address:
Postal code:
By:
Phone:
Email:

At Danske Tursejlere we can offer you excellent boat insurance. If you are a member, you already have liability insurance with us. The next step is therefore to get comprehensive insurance for your boat, so you are completely on the safe side in case of an accident.

If you have any questions, you can always contact the Danske Tursejleres secretariatat 70214242.

Claim notification

Your information

Damage course

Your boat details

Counterparty information

Statement - Witness 1

Statement - Witness 2