Send information of a car accident to SEGURIA

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