Request for the unblocking of insurance (release of indemnification)
| * Amount of damage: | |
| * Způsob likvidace: | |
| * Customer contract number: | |
| Registration mark: | |
| * Customer name: | |
| * Date of insurance event occurrence: | |
| * Insurance event number: | |
| * Insurance company: | |
| Insurance surveyor’s name: | |
| * Where to send unblocked payment: | |
Should you have any questions, please phone: 222 012 111 (from 8:00 a.m. to 5:00 p.m. on workdays).
