All insurances in our webshop -10%!

Personal accident insurance damage notification

Here you can fill in and submit first claim notification form.

How to act in case of loss event, you can read here.

Fields marked with * are required

NOTIFIER DATA

First name and surname of the notifier

Telephone

E-mail

DESCRIPTION OF LOSS EVENT

Policy number

First name and surname of the insured person

Date of loss event

Time of loss event

Place where the insured event occurred

Description of the insured event and circumstances of the accident

What body part was damaged? What is the nature of the damage (bruise, fracture, wound, burn, etc.)?

Additional information/ Questions

Files

Add a new file

If possible, provide any incident-related documents, such as an EMO epicrisis or other documental evidence of the medical expenses incurred.

Upload

Unlimited number of files can be uploaded to this field.
40 MB limit.
Allowed types: gif, jpg, jpeg, png, dng, heic, heif, doc, docx, asice, bdoc, cdoc, txt, zip, odt, pdf.

Additional information

If necessary, Salva Kahjukäsitluse OÜ has the right to request additional information about the circumstances of the accident and the participants in the accident. Acceptance of this notice by the representative of Salva Kahjukäsitluse OÜ does not mean declaring the loss event as an insured event.

I declare that all the information provided in the loss even report is true

I have read and agree with the Data Processing Policy of Salva Insurance

Kasutaja konto menüü

Personal accident insurance damage notification