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Start

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Information about your claim

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Insured

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Attachments

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Summary

In order to report your claim as quickly and conveniently as possible, please prepare:

It won’t take you more than 10 minutes to fill in the form.

Indicate the number of the insurance contract which you will find on the insurance confirmation that you received in the e-mail sent after the insurance was arranged

Specify the item that has been damaged, destroyed or stolen. Indicate the type of the thing, brand and model.

Indicate the purchase price of the product.

Indicate the purchase price of the product.

State the exact time, place and cause of the damage. Describe in as much detail as possible what did you do to prevent the damage and what is its extent. If there are witnesses of the event, please provide their names and contact details or attach their statement to the rest of the documentation at the end of the form.

Enter the first name of the insured person for whom you are reporting the claim.

Enter the surname of the insured person for whom you are reporting claim.

Enter the birth number of the insured person for whom you are reporting the claim. Fill in the number without spaces or slashes. If you need to fill birthday, write it in format YYYY-MM-DD (Year-Month-Day).

Provide a phone number we can use in order to contact you (or the insured person for whom you are reporting the claim) in relation to the claim. Please use international format without spaces for example: +420123456789

Provide an e-mail address we can use to contact you (or the insured person for whom you are reporting the claim) in relation to the claim.

Enter the address at which we will be able to contact you (or the insured person for whom you are reporting to the claim) in relation to the claim.

Enter the address at which we will be able to contact you (or the insured person for whom you are reporting to the claim) in relation to the claim.

Enter the address at which we will be able to contact you (or the insured person for whom you are reporting to the claim) in relation to the claim.

Enter the address at which we will be able to contact you (or the insured person for whom you are reporting to the claim) in relation to the claim.

Please fill in your bank account number in format prenumber-number/bank code or fill in IBAN

In order to investigate the incident as quickly as possible we encourage you to upload the following documents:

Receipt / invoice for the damaged, destroyed or stolen item*

Report from the service / repair shop in case of damage if it was not repaired in the recommended authorized service Bels (applies only to the insurance of mobile phones and displays) or photo documentation in case of destruction*

Police report in case of theft or robbery*

Photodocumentation of damaged equipment in case of damage or destruction

Other documents, such as the insured's request to block the device's serial number (IMEI) (in the case of theft of a mobile phone), a ticket, the original flight itinerary, a boarding pass or the PIR protocol of the carrier (in case the damage occurred during the air transport) and other relevant documents related to the damage

Two/three more steps and you're done:

  1. Check all data. For correction, return to the appropriate step of the form
  2. Confirm your agreement with the statement and submit
Confirm your agreement with the statement and submit

Information about your claim

Date of origin of the claim:
Country where the claim occured:
Area where the claim occurred (e.g. resort):
Place where the damage occurred (e.g. hotel, airport or city):
Type of claim:
Product
Price:
How the damage occurred :

Insured

Name:
Surname:
Birth number (foreigners without birth number fill in the date of birth):
Phone number:
E-mail:
Post code:
City:
Street and house number:
Country
Bank account number

Attachments


I declare that all information provided in this claim report is true and complete and that I have not concealed any fact that would affect the course and outcome of the claim investigation.

I am aware that due to false and incomplete answers, the insurance company may withdraw from the insurance contract or refuse the insurance indemnity.

I agree that you can request the necessary documents from the police, administrative authorities and other insurance companies for the purpose of investigating the claim event.

TUITO processes the personal data of the insured. The reason for this is the compliance with legal obligations and protection of the legitimate interests of the insurance company and / or the policyholder or the interests of other persons to whom the processing relates or may relate.

I declare that I have read at www.tuito.cz information about the processing of personal data, information about my rights, especially the right for information, explanation of processing, access to personal data and the right to object to processing carried out on the basis of legitimate interests of the controller or third parties.

I give this consent for the entire period of existence of obligations arising from the insurance contract or obligations related to it.

Thanks for your claim of Insurance Contract Number . Claim is filed under no. .

You will get confirmation about the claim to your e-mail.

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