Insurance case

Kind of insurance claim *

Name *

Email *

JOULE ID *

You can find this on the sticker on your bike. It starts with JOULE, followed by the year your bike was delivered.

Insurer

Policy number

Date and time of the incident

Location of the incident

Description of the circumstances

Are third parties involved?

Contact details of third parties

Was a determination made by the police?

Is there any surveillance footage or witnesses?

Contact details of witnesses

Picture(s) of the location

Picture of the damage

Extra picture of the damage (optional)

Picture(s) of the keys

Copy of European collision form (if made up with other party)

Copy of police report

Insurance claim