SOS insurance during the trip

Notification of claim

SOS insurance during the trip

In order for us to be able to provide an insurance benefit quickly and easily, we require several important details from you. Having the documents listed below ready will make the process of reporting the claim easier for you.

Medical certificate / Death certificate / other confirmation
Booking confirmation from organiser/operator
Detailed list of expenses/claims
Receipts
Non-refundable travelling documents
Insurance policy/card (copy)

Note: Please upload the documents.

Notification of claim

Questions concerning the policyholder (eligible person)

First name

Last Name

Date of birth

Street

No.

Postcode

Place

Phone (day time)

E-mail

Account Number (IBAN)

Bank Code (BIC/SWIFT)

Your insurance policy/certificate no. (in case of an annual policy)

Notification of claim

Person causing the damage

Is the party who caused the loss the same person as the policyholder?

First name

Last Name

Date of birth

Relation to the policy holder?

Did the responsible party want to travel/rent himself?

By which means of transport did he/she return?

Notification of claim

Questions about other insurance coverages

Are you insured against travel incidents by another company (e.g. health insurer)?

Company

Policy no.

Have the travel costs been payed by credit card and have those costs thus been insured by the credit card company?

Please give us the name of the credit card provider incl. card name (e.g. Gold MasterCard)

Name of the cardholder:

Has compensation already been paid to or applied for by another party?

By whom

Notification of claim

Questions concerning the, interrupted, extended journey

Date of booking

Date of extra return journey/temporary return to place of residence

Date of initially planned journey

Was our emergency line contacted

Please give us the reference number

Please give us an explanation

Notification of claim

Questions about the event

Reason for the interrupted/extended journey

unexpected, serious illness
Death
Accident
others

Brief summary of the case

When did the incident happen?

Was a doctor consulted?

When for the first time?

Name and address of the doctor in attendance

Why did the doctor recommend to interrupt the journey?

When exactly?

Please specify the exact diagnosis (no abbreviations)

Notification of claim

Comments

Further comments

Summary

Edit

With this click, I hereby confirm the completeness of the documents and the correctness of the information and confirm that I am aware that untrue or incomplete information may lead to the loss of the claim to insurance cover.

With this click, I authorise ERV to process data to the extent necessary in connection with the claim settlement, and, in the case of doctors, hospitals, medical personnel, private and public enterprises, authorities, the police and the fire service, private and social insurers in Switzerland and abroad, to obtain information or to access files and I release the bodies mentioned and their assistants from their official or professional secrecy or their duty of confidentiality and authorise them to provide information. In addition, I agree to communicating by unencrypted email for the settlement of the claim.

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Notification of claim

Notification of claim

Notification of claim

Notification of claim

Notification of claim

Notification of claim

Notification of claim

Summary

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