Application for indemnity

Damage communication form. Pdf file

 

In order to apply to the Consorcio for indemnity following damage suffered in a road traffic accident, the documentation that must be presented will vary according to the following:

 

A. IN THE EVENT OF AN ACCIDENT (Insurance contracted through the Consorcio):

 

Material Damage:

 

It is important that the application be presented to the corresponding Consorcio branch as soon as possible so that a loss adjuster is able to evaluate the damage. .

 

  • Standard claim form.
  • Testimony
  • Photocopy of the D.N.I. / N.I.F. of the recipient of the indemnity.
  • Photocopy of the S.O.A. Certificate (Mandatory Motor Insurance)
  • Bank details (20 digits)

 

Personal injury:

 

  • Standard claim form.
  • Testimony
  • Photocopy of the D.N.I. / N.I.F. of the injured party and of the recipient of the indemnity should it not be the injured party.
  • Bank details (20 digits)
  • Medical-hospital entry/release forms
  • Forensic Doctor's report or, failing this, report from the Health Centre that attended to the patient.

 

In the event of the death of the victim:

 

  • Certificate of Last Will and Testament.
  • Testament.
  • In the absence of a Testament, a declaration of heirs or a notarised report.

 

B. IN THE EVENT OF AN ACCIDENT CAUSED BY AN UNINSURED VEHICLE:

 

Material Damage:

 

  • Damage communication form.
  • Photocopy of the D.N.I. / N.I.F. of the affected party or of the recipient of the indemnity should they not be one and the same.
  • Bank details (20 digits).
  • Statement.
  • Estimate of the cost of repairs or invoice.

 

Personal injury:

 

  • Damage communication form.
  • Photocopy of the D.N.I. / N.I.F. of the injured party or of the recipient of the indemnity should they not be one and the same.
  • Bank details (20 digits).
  • Statement.
  • Hospital entry/release forms.
  • Forensic Doctor's report or, failing this, report from the Health Centre that attended to the patient
  • Original sentence or copy authenticated by the Court.

 

In the event of the death of the victim:

 

  • Certificate of Last Will and Testament.
  • Testament.
  • In the absence of a Testament, a declaration of heirs or a notarised report.

 

C. IN THE EVENT OF AN ACCIDENT CAUSED BY AN UNKNOWN VEHICLE:

 

Personal damage:

 

  • Damage communication form.
  • Photocopy of the D.N.I. / N.I.F. of the injured party or of the recipient of the indemnity should they not be one and the same.
  • Bank details (20 digits).
  • Copy of documentation from legal proceedings.
  • Forensic/medical report
  • Original sentence or copy authenticated by the Court.

 

In the event of the death of the victim:

 

  • Certificate of Last Will and Testament.
  • Testament.
  • In the absence of a Testament, a declaration of heirs or a notarised report.

 

Material damage:

 

  • Not covered.

 

D. IN THE EVENT OF AN ACCIDENT CAUSED B A STOLEN VEHICLE:

 

Material Damage:

 

  • Damage communication form.
  • Photocopy of the D.N.I. / N.I.F. of the affected party or of the recipient of the indemnity should they not be one and the same.
  • Bank details (20 digits).
  • Police report advising of the theft.
  • Bulletin testifying to the recovery of the vehicle.
  • Statement
  • Letter from the other party's insurers t your application for indemnity.
  • Estimate of the cost of repairs and/or invoice.

 

Personal injury:

 

  • Damage communication form.
  • Photocopy of the D.N.I. / N.I.F. of the injured party or of the recipient of the indemnity should they not be one and the same.
  • Bank details (20 digits).
  • Police report advising of the theft.
  • Bulletin testifying to the recovery of the vehicle.
  • Statement
  • Letter from the other party's insurers t your application for indemnity.
  • Original sentence or copy authenticated by the Court.
  • Hospital entry/release forms.
  • Medical certificate.
  • Forensic doctor's report or, failing this, a report from the health centre that attended to the patient.

 

In the event of the death of the victim:

 

  • Certificate of Last Will and Testament.
  • Testament.
  • In the absence of a Testament, a declaration of heirs or a notarised report.

 

E. IN THE EVENT OF CLAIMS AGAINST COMPANIES BEING LIQUIDATED BY THE CONSORCIO:

 

Material Damage:

 

  • Standard claim form.
  • Damage communication form.
  • Photocopy of the D.N.I. / N.I.F. of the affected party or of the recipient of the indemnity should they not be one and the same.
  • Bank details (20 digits).
  • Original sentence or authenticated copy of same.
  • Repair invoice that is pending payment by the insurance entity, accrediting the fact that it was presented to same.

 

Personal injury:

 

  • Standard claim form.
  • Damage communication form.
  • Photocopy del D.N.I. / N.I.F. of the injured party or of the recipient of the indemnity should they not be one and the same.
  • Bank details (20 digits).
  • Report from the health centre that attended the patient.
  • Medical report.
  • Original sentence or authenticated copy of same.

 

In the event of the death of the victim:

 

  • Last Will .
  • Testament.
  • In the absence of a testament, a declaration of heirs or notarised report.