Type of inquiry

Insurance details
Please write Policy number

Notifier’s data

Give us your email so we can send you a confirmation of filing your case

Data of car owner

Data of car buyer

Data of co-owner

Data of car sale

Time of car sale

Czy zbywca posiadał ubezpieczenie dobrowolne (AC, NNW, Assistance) w Balcia?

Dane do zwrotu przelewem:

Please attach the relevant document

Vehicle sales contract/VAT invoice of purchase/donation agreement/inheritance deed

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