Accident declaration

Send information of a car accident to SEGURIA

Instructions:
The fields with asterix (*) are obligatory. Remember to press SUBMIT at the end.
After submitting you will receive an automatic confirmation and we will contact you shortly after opening the claim.

Your Name*


Your NIE-number


Your Email*


Your Phone Number*


License plate number of your car*


Day and Time of the accident* (Fill in: DD/MM/YYYY)


Place of the Accident (Street and City)*


License plate number of the Contrary*


Who was guilty for the accident?*


Short description of the accident*


Enclose the ACCIDENT STATEMENT here (or send it to info.seguria@gmail.com, or WhatsApp tel. +34 634 315 664 / Anneli)


Is it okay for you to take your car for loss adjuster's inspection (in case repair is needed) to a nearest Liberty Seguros authorized repair shop? (We will send you the address and required claim number after opening the claim)
YesNoI do not know yet Benefits: Easiness, you can take your car for inspection when it suits you, replacement car during repair, car wash, warranty for the repair.

Additional information


NOTE: If the enclosure is big, sending might take some time.
Wait until you get the confirmation to your email given.

Seguria S.L. 2020