European Claim Form

In order to have your claims notification handled, you should take the following steps, within 2 weeks after the date of burglary/damage :

1. Fill out completely the above claim form, including the appendices;
2. Print and/or export the claim form first before clicking on 'Submit Survey';
3. Approve the claim form again or fill out the missing required data fields;
4. Fax the printed claim form together with the official police report as soon as possible to the fax number below;
5. Fax, at the latest 1 month after the burglary or damage, a copy of the claims notification and its attachments to the following fax number :

Cabinet Labalette - FILIALE DU GROUPE VERSPIEREN
à l'attention de Francine Durisotti
Fax 01 45 61 52 67

 

We can only accept your claim if we receive all the necessary documents within 1 month after the burglary/damage.

If you have any questions, please contact us :

 Cabinet Labalette - FILIALE DU GROUPE VERSPIEREN
A l'attention de Francine Durisotti
14, rue de Marignan
75008 Paris 

Tél. 01 45 61 52 69
Fax 01 45 61 52 67 

Lease organization
Surname
Asset

If several assets are damaged/stolen, please fill in the following information per asset in a Word or Excel sheet and e-mail this, in attachment to the claims notification, to Marsh, Léa De Ruyck.
We also invite you to mark the right compartment in the section 'Appendices'.

Comments
:
Appendices

Please select from the available appendices those that are appropriate to your situation:

Other
Sourcing On Demand

Cabinet Labalette
FILIALE DU GROUPE VERSPIEREN

14, rue de Marignan
75008 Paris - France

Tel 01 45 61 52 69
Fax 01 45 61 52 67

 

 

Contact us

Free number
+33 800 716 715

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