Claim forms

Here you will find all claim forms as PDF files that you can fill in and print out at home.

Claim documents overview:

If you don’t have the “Acrobat Reader” to open the files, you can download it for free at

If you have installed and use our safety app MY-SAFETY-APP 2, you can send claims and medical bills directly to us at the push of a button. This shortens the processing time considerably.

Do you require advice?
If you have any questions, please feel free to contact us:

Phone: +49 2247 9194-977


Mon-Fri: 8 am to 6 pm

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