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21 December 2024, Saturday
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Company Profile
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Services
Casco Insurance
Individual Annuity Insurance
Traffic Insurance
Homeowner Insurance
DASK
Work Place Insurance
Health Insurance
Education Insurance
Engineering Insurances
Freight Insurances
Claim Management
In Case Of Any Damage
Notice of Claim Form
Claim Procedure
Auto Services (Tur)
Health Institutions (Tur)
Get a Quote Online
FAQ
Necessary Documents
Contact

Notice of Claim Form
For us to process your claim effectively and quickly, please fill out the claim form to best of your knowledge and with correct information.
GENERAL INFORMATION
Branch
Select
Traffic
Casco
Other
Agency No
Policy No
Beginning Date
End Date
Name Of Insured
Insurance Amount
Date Of Loss (Damage)
Time Of Loss
Select
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01
02
03
04
05
06
07
08
09
10
11
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14
15
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18
19
20
21
22
23
Select
00
01
02
03
04
05
06
07
08
09
10
11
12
13
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15
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19
20
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50
51
52
53
54
55
56
57
58
59
60
Place Of Loss
Cause Of Loss
INFORMATION ON DAMAGED PARTY FOR TRAFFIC RELATED DAMAGES
License Plate No
Brand
Type
Model
DEATH / BODILY INJURY
Name, Last Name
Date Of Birth
Occupation
Place Of Expertise
Phone No
VEHICLE INFORMATION
License Plate No
Brand
Type
Model
Estimated Damage
COVERAGE AMOUNT
Building
Articles / Goods
Machinery
Fixed Assets
Glass
Other
INFORMATION ON CLAIMANT
Name, Last Name
Phone No
CONTACT PERSON
Name, Last Name
Phone No
Notes
About Us
o Company Profile
o Our Quality Policy
o Our References
Services
o Casco Insurance
o Individual Annuity Insurance
o Traffic Insurance
o Home Insurance
o DASK
...
o Work Place Insurance
o Health Insurance
o Education Insurance
o Engineering Insurances
0 Freight Insurances
Damage Guide
0 What to do in case of any damage?
o Notice of Claim Form
o Claim Procedure
o Auto Services (Tr)
o Healt Institutions (Tr)
Contact
o Contact
o Get a Quote Online
PENCEREYÄ° KAPAT
