Form Section Status		Damage claim: Travel insurance  Fill in the injury/illness under the fitting title. It is important that you write a detailed description of what happened under claim and specify what you want compensation for. Items marked with * must be answered. Upon submission of additional documents always give booking number as reference. Enter the type of insurance claim you would like to register by selecting below:  General information * Delay Property Illness/Accident Destroyed travel days Excess Assault Legal aid Liability protection Insurance and travel days * The travel insurance purchased by  Travel agency  Booking number  Travel insurance:  PLUS TOTAL Travel days and destination  Departure date    Return date    No. of days  Destination  Personal details * First and lastname  Person no.  Mobile phone no,  Email address  Address (Street, P.O. Box)  Zip code  Postal address