Zgłoś szkodę

Powrót

Group Travel

Krok 1

Download and complete the form

This application should be accompanied by:

1) a copy/scan of the complete medical documentation relating to the accident (a copy of the hospital discharge summary report and a certificate of completion of the treatment and rehabilitation process);

2) police reports and blood alcohol test results of the Insured (if any).

 

If the claim pertains to Death of the Insured, please include:

1) the medical documentation stating the immediate cause of death,

2) the report of the public prosecutor’s office,

3) the autopsy result (if performed),

4) the Beneficiary appointment declaration,

5) a certified copy of the Marriage Certificate or a certified copy of the Birth Certificate (if the Beneficiary is the offspring or spouse of the Insured),

6) a copy of the Beneficiary’s identity card authenticated by a notary,

7) an original death certificate or a copy authenticated by a notary.

 

Claim form medical expenses - refundacje@europ-assistance.pl

The completed form should be accompanied by:

1) a copy of the ticket for the journey during which the delay occurred (the document must contain the total ticket price);

2) a confirmation of payment for the aforementioned ticket using the Card with the number provided in the application form,

3) a confirmation of delay received from airlines,

4) a confirmation of kinship if the damage relates to family members (a copy of the marriage certificate, the birth certificate).

 

Claim form trip delay/baggage delay/baggage lost - refundacje@europ-assistance.pl

For this application, please enclose:

1) copy of medical documentation related to the accident,

2) police raports and results of the study for the presence of alcohol in Insured's blood (if it was carried out).

 

If the claim relates to the death of the Insured, please attach:

1) medical documentation stating cause of death,

2) prosecutor's report,

3) result of post-mortem examination (if it was carried out),

4) declaration of the beneficiary,

5) copy of the marriage certificate or copy of birth certificate (if the beneficiary is a spouse or offspring of the Insured),

6) notarized copy of the beneficiary's ID card,

7) the death certificate (the original or a notarized copy).

 

Claim form group travel personal accident - travelowe@colonnade.pl

Krok 2

Send us the completed form refundacje@europ-assistance.pl

Send it to us via e-mail


or by mail to the following address
Colonnade Insurance S.A.
Branch in Poland
Claim Handling Department
ul. Marszałkowska 111
00-102 Warsaw
Claim Handling Department
+48 22 528 51 00
Hotline is open:
Mon – Thu 9.00 a.m. – 5.30 p.m.;
Fri 9.00 a.m. – 4.45 p.m.
Contact Assistance Center
+48 22 483 39 70
Hotline is open 24 hours a day