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Home   >  Loss Adjustment   >  Personal accident insurance   >  Report loss

Loss Adjustment

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Report loss

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Send us a short letter describing what happened. Our loss adjuster will contact you!

First name and surname of the insured person*
Personal identification code of the insured person*
Policy number
Date and time of the loss event
Description of the event*
Place of the loss event
First name and surname of the notifier*
Contact phone*
E-mail address*
Seesam office closest to you
* Necessarily to fill these fields
 
Enter the characters shown in the image*
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