Contact

Claims hotline

Submit legal case

You want to quickly and easily register a legal case? Then use the form below.

 

Fields marked * must be completed.

1. General information

Title*

Please enter your title.

Please enter your first name.

Please enter your surname.

Please enter your street name.

Please enter a valid house number.

Please enter a valid postcode.

Place of residence*

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Please enter a valid place of residence.

Please enter a valid date of birth.

Please enter a valid e-mail address.

Please enter your telephone number.

2. Information on the circumstances

Branch of law*

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Please select the type of legal case.

Please specify when the legal case has occurred.

 characters remaining

Please describe what happened.

3. Counterparty

Title

Please enter your title.

Please enter your first name.

Please enter your surname.

Please enter your street name.

Please enter your house number.

Please enter a valid postcode.

Place

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Please enter a valid place.

Please enter a valid e-mail address.

Please enter your telephone number.

4. Documents

Please transmit all relevant documents (e.g. contract of employment, rental agreement, accident protocol, etc.).

Attach Documents (PDF/JPG, max. 5 MB, max. 3 documents)

The maximum size of all files is 5MB.

Files must be .pdf, .jpg or .png only.

This file is infected.

No file selected.

Contains the same file twice

The maximum size of all files is 5MB.

Files must be .pdf, .jpg or .png only.

This file is infected.

Contains the same file twice

The maximum size of all files is 5MB.

Files must be .pdf, .jpg or .png only.

This file is infected.

Contains the same file twice

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