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Insurance · Free
Form to report a claim to your insurer in Switzerland
Free · 3 documents included · no credit card
Nom : Your full name
Adresse : Your address
Numéro de police : Policy number
Date du sinistre : Date of the incident
Lieu du sinistre : Place of the incident
Describe what happened, the damage you found and any other relevant information
Montant estimé : CHF Estimated amount of the damage (CHF)
Je déclare sur l'honneur que les informations fournies ci-dessus sont exactes et complètes. Je m'engage à fournir tous les documents justificatifs nécessaires (photos, factures, rapports de police, etc.) dans les meilleurs délais.
Fait le Date of the report
Your full name
Form to report a claim to your insurer in Switzerland
Understand the Swiss health insurance system, the rights of insured persons and the differences between cantons.
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