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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.

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).

The completed form should be accompanied by:

1) a copy of complete medical documentation relating to the accident, including a certificate of completion of the treatment and rehabilitation process,

2) police reports (if prepared),

3) a copy of the insurance policy/certificate.

 

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.

 

For this application, please enclose:

1) original receipts for costs incurred medical expenses

2) copy of medical documentation

If your claim pertains to:

1) reimbursement of medical expenses

2) flight/luggage delays

3) flight cancellation

4) loss of property

contact the Assistance Centre.

Krok 2

Send us the completed form - travelowe@colonnade.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 22 211 98 72
Hotline is open 24 hours a day