You must fill in and send the electronic form below if you want to report an injury caused by uninsured or unknown horses.

 

The damage report is received by FUH. We will contact you and explain the further progress of the case once we have received your claim report.​​

 

If you have questions about the damage report, you can contact us on tel. +45 41 91 90 19, weekdays,

Monday-Thursday from 8.30 AM. to 4.00 PM and Friday from 8.30 AM to 3.00 PM.

 

 

{{headline_insured}}

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

{{information_about_the_accident}}

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

{{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_damage}}
{{acquisition_price}}
{{acquisition_time}}
{{family_home_insurance}}
{{if_yes_which_company}}

{{damage_to_vehicle}}

{{has_your_vehicle_been_damaged}}
{{describe_the_damage}}
{{regno}}
{{model_brand}}
{{year}}
{{vessel_in_company}}
{{vessel_comprehensive_insurance}}
{{insurance_company}}

{{damage_to_animals}}

{{has_there_been_damage_to_animals}}
{{describe_the_injury}}
{{seen_by_a_vet}}
{{have_horse_health_insurance}}
{{insurance_company}}

{{the_damaging_horse}}

{{known_horse}}
{{horse_owners_name}}
{{address}}
{{postal}}

{{witnesses}}

{{witnesses_to_the_accident}}

{{witness}} 1 {{add_witness}}

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

{{police_report}}

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

{{more_information}}

{{banking_details}}

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

{{documentation}}

{{attach_relevant_documentation}}
{{morefiles}}
Din browser er forældet, Du bør opdateres til en moderne browser. Læs mere her.