Tema
Debat

Notice of claim - speedboats and jet skis

Due to Covid-19, FSV doesn't currently collect information from the health care sector and the police. Therefore, longer case processing time is expected at FSV

You must complete and submit the electronic form below to report any damages caused by uninsured or unknown speedboats, jet skis and similar vessels. 

 

The notice of claim will be received by FSV. We will contact you and inform you of the progress of the case once we have received your notice of claim.​

 

{{headline_insured}}

{{name}}
{{address}}
{{postal}}
{{position}}
{{phone}}
{{email}}
{{are_you_vat_registered}}
{{who_is_claiming}}
{{name}}
{{address}}
{{postal}}
{{phone}}
{{email}}
{{name}}
{{address}}
{{postal}}
{{phone}}
{{email}}

{{information_about_the_accident}}

{{address}}
{{postal}}
{{information_accident_place_description}}
{{when_did_the_accident_happen}}
{{country}}
{{describe_the_accident}}

{{damage_to_the_vessel}}

{{has_your_vessel_been_damaged}}
{{describe_damage}}
{{hull_number}}
{{model_brand}}
{{year}}
{{vessel_in_company}}
{{vessel_comprehensive_insurance}}
{{insurance_company}}

{{the_master_of_the_vessel}}

{{is_the_master_the_same_person_as_the_insured}}
{{cpr}}
{{name}}
{{address}}
{{postal}}
{{position}}

{{personal_injury}}

{{was_there_any_personal_injury}}

{{Person}} 1

{{button_add_person}}
{{cpr}}
{{name}}
{{address}}
{{postal}}
{{do_you_have_accident_insurance}}
{{accident_insurance_company}}
{{been_to_emergency_room}}
{{work_related_injury}}
{{member_denmark}}
{{sick_leave_accident}}
{{sick_leave_from_date}}
{{to_date}}
{{still_on_sick_leave}}
{{information_about_work_situation}}
{{professional job}}
{{job_title}}
{{information_work_before_accident}}
{{number_of_hours_per_week}}
{{full_pay_during_illness}}
{{received_sickness_benefit}}
{{describe_current_problems}}
{{received_or_are_you_still_receiving_treatment}}
{{describe_the_treatments}}
{{name_address_general_practitioner}}
{{other_info_treatment}}
{{describe_person_damage}}

{{damage_to_property}}

{{was_there_any_damage}}
{{describe_item_damage}}
{{family_home_insurance}}
{{if_yes_which_company}}

{{the_other_party}}

{{known_other_party}}
{{name}}
{{address}}
{{postal}}
{{country}}
{{additional_info_other_party}}
{{model_brand}}
{{hull_number}}
{{year}}
{{insurance_company}}
{{policy_number}}
{{who_has_the_information}}
{{is_other_party_hidnrun}}
{{other_information}}

{{police_report}}

{{accident_reported_police}}
{{police_jurisdiction}}
{{police_station}}
{{police_journal_number}}

{{witnesses}}

{{witnesses_to_the_accident}}

{{witness}} 1 {{add_witness}}

{{name}}
{{address}}
{{postal}}
{{phone}}
{{email}}
{{location_witness}}

{{more_information}}

{{banking_details}}

{{send_money_bank}}
{{send_money_nemkonto}}
{{regno}}
{{accountno}}

{{documentation}}

{{attach_relevant_documentation}}
{{morefiles}}
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