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Online damage report

Claims usually come as a surprise. What counts now is a quick response and taking the right measures.

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Name (Company / Organistion)*

Adress*

Street Number City Post Code Country

Last Name*

First Name*

Mobile*

Email*

Location (of Incident)*

Incident Date

Cause of Damage (fire, water, other)*

Affected Property (building name)*

Affected Floors (list floor numbers – Ground, 1st, 2nd, etc.)*

Affected Machinery and Equipment*

Description of Incident (supply details)

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E-Mail*

Salutation*

First Name*

Last Name*

Company Name

Company Address

Street Street No. City Postal Code/Zip Code Area/Country

Company URL

Phone

Mobile

Subject – Please choose any one of the following:*

Disaster Recovery Service Inquiries

Decontamination Service Inquiries

Precision Machine Service Inquiries

RED ALERT Inquiries

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