After filing your claim you will receive a confirmation email.
We will keep you informed about your filed claim.
The handling of your claim may take a while due to the volume of claims.
Your claim must be substantiated with supporting documents (agreements, invoices, etc).
Files can only be uploaded as
PDF, Word- or Excel file.
You can upload multiple documents at once.
Any additional comments
can be added in the comment box
at the end of the form
Fields marked * are mandatory.The TAB button will take you to the next input field.
Reference number (if you have one)
Bank account number*
AMOUNT OF YOUR CLAIM
Amount of claim (without VAT)*
Total amount (incl. VAT)*
(Please upload evidence/files to support your claim)
RETENTION OF TITLE
Does your claim involve retention of title?*
(Please upload evidence/files regarding retention of title)
Comments regarding retention of title:
Does your claim involve a mortgage or lien?*
(Please upload evidence/files regarding mortgage/lien)
Comments regarding mortgage/lien:
Is your claim a preferential claim? (legal priority)*
Amount preferential claim:
(Please upload evidence/files to support preferential claim)
Comments regarding preferential claim:
Are there any current agreements (with debtor)?*
(Please upload evidence/files regarding current agreements)
Comments regarding current agreements
RIGHT TO ADVERTISE
Does your claim involve right to advertise?*
(Please upload evidence/files regarding right to advertise)
Comments regarding right to advertise
RIGHT OF RETENTION
Does your claim involve right of retention?*
(Please upload evidence/files regarding right of retention)
Comments regarding right of retention
Does your claim involve additional rights?*
(Please upload evidence/files regarding additional rights)
Comments regarding additional rights
Please add any additional comments regarding your claim
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