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;

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

English Claim Form for Belgium

Filiale leasing
Surname
Comments
:
Appendicies
Files must be less than 2 MB.
Allowed file types: gif jpg png txt rtf html pdf doc docx odt ppt pptx odp xls xlsx ods xml rar zip.