ONLINE CARRIER'S LIABILITY NOTIFICATION

ONLINE CARRIER'S LIABILITY NOTIFICATION

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Dear Sir/Madam,

After successful submission of the online form, you will receive on the email address specified by you an automatically generated message to which you need not reply.

In order to submit to us an online notice of insured event, please provide true, correct and complete data in the electronic form, ensuring that all mandatory fields are filled in.

Online registration of a notice of insured event does not constitute release from any other obligations you have under the General Conditions of the Carrier’s liability insurance or from the instructions of the insurer.

Applicant:

Insured goods according to the commercial invoice:

City/Country

City/Country

Day.Month.Year

Company which reported the damage

(description of damages; time and location of occurrence)

The subject-matter insured is currently located in

(name and address of the company where the cargo is located)

(name of company which sent the protest)

(name of company addressed in the protest)

Estimated damages

Date: 22.02.2024

Important Notice

  • The Insured is obliged to inform the insurer in case a claim or court action is brought against the insured, within the periods stated in the general conditions of the insurance contract.

I declare: