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Damage- loss event
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Claimform travel cancellation
Claimform Travel Cancellation
Notification of damage/loss for Travel Cancellation Insurance
Policyholder
Surname
*
First Name
*
Street
Postalcode
City/Town
Phone
Mobile
E-Mail
*
Policy Details
Date payment is received
Start of travel
Number of persons
*
Charter fee
*
Amount of damage(€)
*
Date of loss
*
Reason of withdrawal
*
Cancellation
*
Total travel cost
Partial cancellation
Who is absent?
Name
*
E-Mail
Street
*
Postalcode
*
Town/City
*
Phone (privat)
Mobile
*
Fax
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