SIMPLIFIED HOME ACCIDENT/LOSS REPORT

   

INFORMATION ABOUT THE INSURED

   THE INSURED 

(the information with * is required)   

 

PASSPORT/NIE *

 NAME * / SURNAME *

POLICY  *

 

  EMAIL ADDRESS

TELEPHONE *

 

 

   INFORMATION ABOUT THE DAMAGED (If there is one)

   DAMAGED

   

PASSPORT/NIE

 NAME  / SURNAME

TELEPHONE

 

   ACCOUNT OF THE FACTS

   LOSS / ACCIDENT

(the information with * is required)   

 

DATE *

HOUR *

  
 

 

 

ACCOUNT OF THE FACTS AND DAMAGES * 

 

Are the written data correct? 

   

 
     
    WHAT TO DO IN CASE OF ACCIDENT/LOSS?  
   

 

In case of fire, water loss, etc, you have to proceed in the quickest way, trying to reduce that which has provoked the accident. 


You have to list the damaged and missing property and goods, in case of robbery.


In case of robbery, the listed items have to be detailed in the reporting of the crime. You have to include on the damages in the doors, windows, locks, etc.

  • Fill in this form 

  • From our offices 

  • By e-mail: siniestros@milenium-murcia.es 

  • In our office phone nº: 902 196 687 

  • In the home assistance phone nº: 902 150 150 

And remember that our main purpose when taking us on for your insurance policy is to give you advice and the guarantee of providing you with our services.

 		 
       

Phone: (+34) 902 196 687 - Fax: (+34) 968 860 530
E-mails: produccion@milenium-murcia.es  / siniestros@milenium-murcia.es
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