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How should the back of a claim form be filled out?

After a collision, you and the other party must fill out the claim form. You can fill out the back of the claim form at home.

All about claim form back filling

If you are involved in a collision, you and the other party must fill out the claim form. You do this immediately after the collision, at the scene of the accident. That way, everything is still fresh in your mind and you can fill out the form together correctly. A claim form also has a front and back. You only need to fill out the front together with the other party.

You can also fill out the back of the claim form quietly at home. Once the form is completely filled out, send it to your insurer. In this article at Alpina.nl we explain how to fill out the back of the claim form.

Fill in the claim form

The back of the claim form is frequently forgotten. After all, you fill in the front side on the spot, but you can fill in the back side at home. After the shock of an accident and the frenzy of filling out the form on the spot, it is often forgotten that the back side also has to be filled out. Thus, the form is sent to the insurance company only half completed. Yet it is very important for the insurance company that the back of the form is filled out. This is because it also contains your details as the policyholder, so that the insurer knows which policy it concerns.

What is written on the back of a claim form?

A lot of information is requested on the back of the claim form, but not everything is equally important. The most important eight points to be filled in are the following:

  1. Policyholder
  2. Driver
  3. Damage to your motor vehicle
  4. Police
  5. Victims
  6. Circumstances of occurrence
  7. Liability
  8. Date and signature

For each point you have to fill in several questions. For example, in the case of policyholder, you fill in not only your name, but also your profession, whether you are employed or self-employed, account number and right to deduct VAT. So always check carefully that you have filled in all the requested information correctly. A properly completed claim form ensures that the claim can be handled faster. Have you already completed the form? Then you can send it to your intermediary or insurance company. They will handle the claim and keep you informed of its status.

Example

The reverse side of a claim form looks like this.

form

When you buy car insurance, you automatically get a claim form. Then keep it in the car, so you always have it handy if you sustain damage. Do you no longer have the claim form? Then you can request it from your intermediary or insurance company. You can also download and print the claim form here .

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