Allianz Partners Recovery
Accident enquiry

Details of claim event

In order to assess your claim for possible third party billing, we kindly ask you to provide the following information. Please note that this will not affect any coverage of costs that has already been approved.

Case information

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Firstname

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Lastname

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Claim number

Ex. 20XX XXXXXXX

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Licence plate number of your vehicle

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Information on the claim event

If your claim is not an accident, please go directly to the section «Information on any other insurance».

If it is not a case of a self-inflicted accident, please complete the following information as fully as possible:

Person responsible for the accident (Name)

Address

Ex. Richtiplatz 1. 8304 Wallisellen

Name of relevant insurance company

Policy number

Licence plate number

Claim number

Information on any other insurance

If you answered «yes» to the above question, please complete the following information:

Name of the relevant insurance/assistance

Comprehensive insurance

Policy number

Claim number

For any additional comments, please use the space below

Thank you very much for your valuable support!

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Allianz Partners Recovery Accident enquiry

Details of claim event

In order to assess your claim for possible third party billing, we kindly ask you to provide the following information. Please note that this will not affect any coverage of costs that has already been approved.

Case information

Information on the claim event

If your claim is not an accident, please go directly to the section «Information on any other insurance».

If it is not a case of a self-inflicted accident, please complete the following information as fully as possible:

Information on any other insurance

If you answered «yes» to the above question, please complete the following information:

Thank you very much for your valuable support!

Allianz Partners Recovery
Accident enquiry