Household content insurance theft claim report | Claim Pro Insurance Broker

Insurer name *

Insurance contract no. *

Full name of the policyholder *

Email *

Please fill it out accurately so we can follow up with you about your claim and request additional documentation.

Date and time of the insurance incident *

Datum

Zeit

The location or address of the incident *

Stolen property information *

Brand name, model name, item number, purchase date, and purchase cost.

Attach receipts from the time of purchase of stolen goods

Klicke oder ziehe Dateien in diesen Bereich zum Hochladen. Du kannst bis zu 5 Dateien hochladen.

Attach a photo of the stolen product *

Klicke oder ziehe Dateien in diesen Bereich zum Hochladen. Du kannst bis zu 10 Dateien hochladen.

Product photos taken before the theft.

Police confirmation of a theft report *

Klicke oder ziehe eine Datei in diesen Bereich zum Hochladen.

Statement of incident *

Data use agreement and permission *

I consent to having Sicher Sicher GmbH store and use my submitted information and documents so they can proceed with my claim process.