Home insurance




NOTIFIER’S DATA


Notifier’s given name and surname*

Notifier’s personal identification code*
Contact telephone*
E-mail address*

INSURANCE CONTRACT DATA


Policy number

Policy holder’s given name and surname*

Policy holder’s personal identification code
Specific address of the insured object
(county, city/rural municipality, street, house/apartment No.)*

MORTGAGEE AND OTHER INSURANCE PROVIDERS



Mortgagee in the case of a mortgage
(business name)

If the damaged property is insured by another insurance undertaking, then mark the name of the insurance undertaking

INCIDENT DATA


Date and time of the loss event
(dd.mm.yyyy) *

Specific location of the damage
(county, city/rural municipality, street, house/apartment No.)*
Explanation of the event and the reasons thereof*

NOTIFICATION OF POLICE AND WITNESSES (to be completed in the case of property crimes)



If the police were informed, please specify the party conducting proceedings
(institution, person)


Did the police visit the scene of the event?

Was a written application submitted to the police?
Were there any witnesses to the event? If Yes, then please specify – name and contact data
(telephone, e-mail)

DAMAGES

Description of a damaged building or part of an apartment


Please note the part of the building or apartment that was damaged (for example, bathroom, kitchen) and list the damages. Please mark different rooms on separate rows.

Damaged or stolen moveable property


Please described the damaged or stolen movable property, noting its year of acquisition price when new and the loss. Please mark different items on separate rows.

Total loss
The damaged property is located at the address
(county, city/rural municipality, street, house/apartment No.)

HÜVITISE SAAJA


Given name and surname / company name of the beneficiary

The beneficiary’s personal identification code/commercial register code number
IBAN
Bank

ADDITIONAL INFORMATION


Other circumstances or information, which the notifier considers important

In addition, we are asking in the case of moveable property damage to submit copies of receipts, in the case of damage to a structure (building, apartment, or the parts thereof) a calculation of the repair costs and photos of the scene of the event.