Notificar un siniestro

Desde el primer día, les prometemos que les trataremos de la forma en la que querríamos que nos tratasen, para ayudarle a proteger las cosas que importan. Hemos creado una forma fácil para que ustedes puedan reportar un siniestro. Por favor, elija el producto de seguro para el que quiera reportar un siniestro y rellene el formulario.

Mergers & Acquisitions

To report a claim concerning Mergers & Acquisitions, please fill out the form below.

Name* Phone number* Email address* Please give a description of your claim*

General & Product Liability

The insured

Name* CVR number* Address* Phone* Email* Contact person*

Injured person/damaged object

Name* Address* Phone number* Contact person / Legal representative*

Bank details for possible payee

Name of the bank* Address of the bank* Account no. / IBAN and Swift*

Description of claim

Date of injury/damage* Place of injury/damage* Description of injury/damage (circumstances, extent, information about the damaged object/injured person, etc.)*

Has a claim been made to other insurance companies?

Name of company Possible reference number for claim:

Directors & Officers

The insured

Name* CVR number* Address* Phone* Email* Contact person* Policy number*

Bank details for possible payee

Name of the bank* Address of the bank* Account no. / IBAN and Swift*

Description of claim

Date of injury/damage* Place of injury/damage* Please add a description of the claim/notification (damage, claimant, allegations, wrongful act, dates, person(s) involved, estimated amounts and other circumstances of importance to the matter)”

Has a claim been made to other insurance companies?

Name of company Possible reference number for claim:

Cyber

Below is a form with details about the event, which would be preferable to have collected before the call to a preparedness consultant is made. However, this is not a condition for assistance.

Name* Email* Date of incident* Date of discovery of incident*

Please provide detailed description of how the incident was discovered* Specify affected locations / offices*

Does the incident deal with any personally identifiable data? YesNo If so, what kind of data and what personal information did the incident deal with? How many registrations have been affected? Who has been affected? Jeres selskabKunderPartnereAndre Are the affected data subjects aware of the data breach? YesNo Does the incident directly affect the insured's ability to operate and generate income? YesNo Are any third parties aware of the incident? YesNo If yes, how? Is there an IT contingency plan in place? YesNo What actions have been taken to minimize and mitigate the impact of the incident? Are the Executive Director or other relevant spokespeople trained to speak to the media? YesNo

SOLI

The insured

Name* CVR number* Address* Phone* Email* Contact person* Policy number*

Bank details for possible payee

Name of the bank* Address of the bank* Account no. / IBAN and Swift*

Description of claim

Has a claim been made to other insurance companies?

Name of company Possible reference number for claim:

Intellectual Property Rights

The insured

Name* CVR number* Address* Phone* Email* Contact person* Policy number*

Bank details for possible payee

Name of the bank* Address of the bank* Account no. / IBAN and Swift*

Description of claim

Has a claim been made to other insurance companies?

Name of company Possible reference number for claim:

Investment Management

The insured

Name* CVR number* Address* Phone* Email* Contact person* Policy number*

Bank details for possible payee

Name of the bank* Address of the bank* Account no. / IBAN and Swift*

Description of claim

Has a claim been made to other insurance companies?

Name of company Possible reference number for claim:

Professional Indemnity

The insured

Name* CVR number* Address* Phone* Email* Contact person* Policy number*

Bank details for possible payee

Name of the bank* Address of the bank* Account no. / IBAN and Swift*

Description of claim

Has a claim been made to other insurance companies?

Name of company Possible reference number for claim:

Crime

The insured

Name* CVR number* Address* Phone* Email* Contact person* Policy number*

Bank details for possible payee

Name of the bank* Address of the bank* Account no. / IBAN and Swift*

Description of claim

Has a claim been made to other insurance companies?

Name of company Possible reference number for claim:

Renewable Energy

To report a claim please fill out the form below (* required). Important! Time is most often an important factor in the best handling of a claim, therefore: Please notify as early as possible.

Policyholder

Policy number* Business number (e.g. CVR)* Name* Address* Phone* Email*

Contact Person*

Bank information

Name of bank* Address of bank* Account no. / IBAN and swift*

Information about the reported incident

Date of incident* Place of incident* Detailed description of the incident (circumstances, extent, etc.)*

Has the incident been notified to other insurance companies?

Company name Reference number

Claims department
+45 44 45 21 42