Report a claim to BAVARIA AGYour partner for all situations

Yacht liability insurance - Notice of claim

Notice of claim for the policy number

Mr./Mrs./Community of owners of the policyholder *

Street

Postcode

Town

Incident

When and where did the damage occur? *

How did the damage occur? Please give us a detailed description of how the damage occurred. If necessary, please make a sketch.

Instructions on the correct behaviour in the event of damage:

Take photos of the damage. Have a cost estimate drawn up. The policyholder is not entitled to acknowledge or satisfy claims.

You can upload files here.

Drag & Drop Files, Choose Files to Upload You can upload up to 10 files.

(Photos of cost estimate, copy of driving licence, other documents)

Which police station recorded the damage? (Please state diary no./file number, address, contact person and phone no.)

Witnesses to the accident (please give name, address and phone number)

Which parts were damaged?

What is the amount of damages claimed?

Do you consider the reported amount of damage to be justified? If not, why not?

Has the injured party possibly caused / been partly responsible for the damage?

If so, to what extent?

Who else do you think is at fault?

Do you consider yourself liable for compensation?

Where can the damaged vessel/object be inspected? (Please give address and phone no.)

Policyholder

Tel. Landline: *

Tel. Mobile: *

Email: *

IBAN:

Credit institution:

BIC:

Account holder:

Details of the boat/yacht of the policyholder

Manufacturer: *

Type: *

Name of the yacht/boat:

Sail no:

Year built:

Material:

Type of propulsion equipment:

Manufacturer engine/gearbox:

Engine no:

Claimant (injured party)

Name

Address

Tel. Landline: *

Tel. Mobile: *

Email: *

IBAN:

Credit institution:

BIC:

Account holder:

Details of the claimant's watercraft

Manufacturer: *

Typ:e *

Name of the yacht/boat:

Sail no:

Year built:

Material:

Type of propulsion system:

Is the claimant related to you or does he live with you in a domestic community?

Do you agree that any compensation should be paid to the claimant?

Is the claimant entitled to deduct input tax?

Checkboxen

I am aware that deliberately untrue or incomplete information can lead to the loss of insurance cover even if the insurer suffers no disadvantage as a result.