The size of a single attached document should not exceed 5MB, and the maximum size of all documents should not exceed 30MB. Allowed file types: pdf, jpg, doc, xls, rar, zip, 7z, bmp, png.
Read the Information Clause before submitting the form.
I agree that Balcia Insurance SE, acting through Poland branch, and its authorized third parties process my personal data related with health condition for the purposes of handling my claim application and calculating and paying insurance indemnity.
I agree to recieve marketing activities and promotions about discounts and other bonuses.