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  • Getir Claim Form

    Type of incident

  • *Sickness covers temporary incapacity of the Getir employee, that is not a consequence of a public road incident while working.

    Temporary incapacity as a result of such a puclic road incident is to be declared under 'Accident'.

  • NOTE

    For any accident with serious bodily injury (death, permanent total disability/loss of use, ...), please contact our customer service from Mon - Friday 9AM - 5PM

    • getir@qover.com 

    Escalation point (or urgent matters)

    • Lars Migerode (Customer Care Manager) 
      • +32 478 47 25 56
      • Lars@qover.com
    • Jef Almond (Claim Manager)
      • +32 499 61 47 09
      • jef.almond@qover.com 

     

     

  • Public road incident

  •  - -
    Pick a Date
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  • Public Road Incident

    ACCIDENT (Bodily injury to the Getir employee)

  • Please indicate the consequences for the Getir employee below.

    Potential damage to a third party can be filed in the next screen.

  • Needed documentation

    for the Getir Employee
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  • Public Road incident

    LIABILITY (Third party)

  • * any moral damage caused to a third party, including any financial loss resulting from the inability to exercise a right, the interruption of a service provided by a person or element, or any loss of income resulting therefrom, in the absence of any Bodily Injury or Accidental Damage.

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  • SICKNESS

    Not related to a public road incident while working
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  • function SvgDhtupload2(props) { return /* @__PURE__ */ react.createElement("svg", dhtupload_svg_extends({ width: 54, height: 47, xmlns: "http://www.w3.org/2000/svg" }, props), dhtupload_svg_path || (dhtupload_svg_path = /* @__PURE__ */ react.createElement("path", { d: "M40.213 10.172c1.897.21 3.68.738 5.35 1.58a15.748 15.748 0 0 1 4.374 3.242 15.065 15.065 0 0 1 2.951 4.533c.72 1.704 1.08 3.522 1.08 5.455 0 1.827-.28 3.654-.843 5.48-.562 1.828-1.379 3.47-2.45 4.929A13.39 13.39 0 0 1 46.669 39c-1.599.948-3.452 1.458-5.56 1.528H37.26a1.62 1.62 0 0 1-1.185-.5 1.62 1.62 0 0 1-.501-1.186c0-.457.167-.852.5-1.186.334-.334.73-.5 1.186-.5h3.848c1.44 0 2.75-.37 3.926-1.108a10.851 10.851 0 0 0 3.03-2.846 13.53 13.53 0 0 0 1.95-3.9 14.23 14.23 0 0 0 .686-4.321c0-1.582-.316-3.066-.949-4.454a11.623 11.623 0 0 0-2.582-3.636 12.857 12.857 0 0 0-3.742-2.478 11.054 11.054 0 0 0-4.48-.922l-1.212-.053-.37-1.159c-.878-2.81-2.292-4.998-4.242-6.562-1.95-1.563-4.594-2.345-7.932-2.345-2.108 0-4.005.36-5.692 1.08-1.686.72-3.136 1.722-4.348 3.005-1.212 1.282-2.143 2.81-2.793 4.585-.65 1.774-.975 3.68-.975 5.718h.053l.105 1.581-1.528.264c-1.863.316-3.444 1.317-4.744 3.004-1.3 1.686-1.95 3.584-1.95 5.692 0 2.39.8 4.462 2.398 6.219 1.599 1.757 3.488 2.635 5.666 2.635h4.849c.492 0 .896.167 1.212.5.316.335.474.73.474 1.187 0 .456-.158.852-.474 1.185-.316.334-.72.501-1.212.501h-4.849a10.08 10.08 0 0 1-4.374-.975 11.673 11.673 0 0 1-3.61-2.661 13.173 13.173 0 0 1-2.478-3.9A12.073 12.073 0 0 1 0 28.301c0-2.706.755-5.148 2.266-7.326 1.511-2.178 3.444-3.636 5.798-4.374.14-2.354.658-4.542 1.554-6.562.896-2.02 2.091-3.777 3.584-5.27 1.494-1.494 3.25-2.662 5.27-3.505C20.493.422 22.733 0 25.193 0c1.898 0 3.637.237 5.218.711 1.581.475 3.004 1.151 4.269 2.03a13.518 13.518 0 0 1 3.268 3.215 18.628 18.628 0 0 1 2.266 4.216Zm-11.964 13.44 6.22 6.85c.245.247.368.537.368.87 0 .334-.123.642-.369.923l-.421.263c-.211.246-.484.343-.817.29a1.544 1.544 0 0 1-.87-.448l-3.69-4.11v16.97c0 .492-.166.896-.5 1.212-.334.316-.729.474-1.186.474-.492 0-.896-.158-1.212-.474-.316-.316-.474-.72-.474-1.212V28.25l-3.584 4.005a1.544 1.544 0 0 1-.87.448.959.959 0 0 1-.87-.29l-.42-.264c-.247-.28-.37-.588-.37-.922 0-.334.123-.624.37-.87l6.113-6.746v-.052l.421-.422a.804.804 0 0 1 .396-.29c.158-.053.307-.079.448-.079.175 0 .333.026.474.079.14.053.281.15.422.29l.421.422v.052Z", fill: "none" }))); }
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  • Note : 

    • The document needs to state the start & end date of the sick leave.

    • Please be aware of the waiting period of 7 days.
      If :
      - Sick leave < 7 days : no coverage
      - Sick leave > 7 days : covered from day 1 to 15 (30€/day).

    • Claims related to Covid aren't covered.

  • Benefit for inability to work due to legal obligation to serve as a juror

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  • Bank details of the beneficiary

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  • By submitting this form, you consent to the processing of sensitive personal data for the above purposes. You also agree that we may transfer this information to countries that do not offer the same level of data protection as France, if required for the above purposes. If such a transfer takes place, we will draft a contract to ensure the protection of this personal information. In the event that you have provided information about a third party, you confirm that this person has appointed you to act on their behalf, to consent to the processing of their personal data, including sensitive data, to the transfer of their information abroad and to receive any data protection notices on their behalf.

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