Online Accident Appraisal

Title

First Name

Last Name

Street and number

Additional Address

City

Postal Code

Phone Number

Insurance, License plate (person responsible for the accident)

Mileage (can be submitted later)

Further important information:

Day of damage

Time of accident

Unfallbericht

Fahrzeugschein

Fahrzeugschaden

Purpose of Appraisal

Insurance case

Buy / Sell

Other

How would you like us to contact you?

Please call

Via E-Mail

Other

How did you hear about us?

I have taken note of the privacy policy.

I hereby confirm that the information I have provided is true and that I am aware that a vehicle appraisal is only free of charge if I am the injured party or if it is covered by my insurance.

Successfully sent.