Reporting a damaged vehicle

Policyholder details / Insured / Parties involved

The details of the policyholder and who to contact for the follow-up of the claim file.

Name policyholder *

First name

Last name

With which insurance company are you insured? *

This is usually in the heading of your insurance contract.

Policy number *

Fill in the policy number which can be found on your documents.

Who to contact for follow-up? *

Myself, the policyholder or their partner
Someone else

Phone number *

E-mail *

Who is the contact person? *

The contact person for the claim file

What's his job? *

Key manager
Rental office
Knowledge / Friend / Family

Contact details mobile or fixed *

Please confirm your phone number? Preferably mobile number.

Who is the contact person? *

Please provide us with the contact details of the person in charge of your claim.

What's his job? *

Key manager
Rental office
Knowledge/Friend/Family

Contact details mobile or fixed *

Please provide the contact details of the person who can provide access to your property.

E-mail

Possibly email address so we can email him or her.

Parties involved

Did you cause the accident? *

Yes
No
Unclear

Is there an opposing party? *

Yes
No

Who is the other party? *

Please provide details such as name, what relationship do they have to the damage, whether they have insurance and how we can contact them.

Any witnesses? *

Yes
No

Who are the witnesses? *

Fill in the contact information and what they have done or found.

Are there any victims? *

Yes
No

Who are the victims? What happened to the victims? *

Information about the damage

What damage has occurred? *

Date and time the damage occurred/arrived? *

Date

Time

Give as exact a date or period as possible when the incident/damage occurred

Do you know what caused the damage? *

Are you in rule, are you in error, ...

Did you fill out a collision form? *

Yes
No

In case of an accident involving several parties, this is and remains a mandatory document for the insurance, emergency services and legal parties.

Add the collision form

Click or drag files to this area to upload. You can upload up to 15 files.

Report from government services, police report (mandatory in case of burglary, robbery or theft), photos and or film of the damage.

Do you already have a police or public order report? *

Yes
No

Check that the police or guardia civil reference number is clearly stated on it.

Add files and photos

Click or drag files to this area to upload. You can upload up to 15 files.

Report of government services, police report (mandatory in case of burglary, robbery or theft), photos and or film of the damage.

Where is there damage to the vehicle? *

Give as detailed a location description as possible of where the damage can be found.

Do you need a towing service? *

Yes
No
The car's already been towed.

Where should the car be towed? *

Please provide a location of the garage if you have a garage - If you do not have a garage, the insurer will take the car to the garage closest to you that the insurer works with.

Where was the car towed? *

Please provide a location of the garage.

Have you undertaken any repairs? *

No
Yes, we've already repaired or mitigated the damage

What has been done to repair or mitigate the damage? *

Pipe shut off, electricity shut off, shoring up walls - windows or doors, other ... We called a plumber, a locksmith, an electrician, ...

Vehicle inspection and/or repair *.

I have a permanent garage
I want a garage that the insurance works with
Other choice

Do you have a permanent garage? Would you prefer a garage that works with the insurance company?

What's the name of the garage? *

Where is this garage located? *

Contact details of this garage? *

Explain your other choice *

Add files and photos

Click or drag files to this area to upload. You can upload up to 15 files.

If you have restored business then only invoices with your information on them will count as principal. Be sure to have your name and N.I.E number on this. Add pictures of the repair as well.

Any additional information that might be important?

When are you in Spain, when can you be reached, etc.

Read and approved *

I agree to the Segurantis terms and conditions

I hereby confirm that I have entered all the data correctly so that Segurantis can open a claim file with the insurance company. Segurantis may use my data for this purpose to pass on to third parties.

Segurantis will open your claim file with the insurance company and provide feedback in your own language. Keep in mind that once the file is opened and Segurantis has given all your information the communication between you as the policyholder and the insurance company will continue. In case of need for support we will always try to help you further. The language of the repairmen is Spanish and the second language is English.

Segurantis is not responsible for any errors communicated to us. After opening an insurance file you, the policyholder, are responsible for checking the data. Are there any inaccuracies please inform Segurantis immediately so that changes can be done.

Report vehicle damage

To report a claim, fill out the form below.

Policyholder details / Insured / Parties involved

Parties involved

Information about the damage