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Online claims form
The more detailed your description, the better we will be able to assist you.
Are your insured with Hellas Direct (HD) insurance?
*
Yes, i'm insured with Hellas Direct (HD) insurance
No, I’m submitting this form on behalf of someone who is insured with Hellas Direct (HD) insurance
No, I’m a third party claimant
No, I’m submitting this form on behalf of a third party involved person
Hellas Direct customer's details
*
Third party details
*
Third party - Hellas Direct
*
Additional parties
The more detailed your description, the better we will be able to assist you.
Are there any additional parties who were involved? (You can select more than one option)
Yes, a vehicle
Yes, a person
Yes, other (Building, Fence etc)
No additional parties involved
Other vehicle involved
*
Other person involved
*
Other type (Building, Fence etc)
*
Injuries
The more detailed your description, the better we will be able to assist you.
Does the claim contain bodily injuries?
Yes
No
Bodily injuries list
*
Witnesses
The more detailed your description, the better we will be able to assist you.
Were there any witnesses?
Yes
No
Witnesses' list
*
Incident's details
The more detailed your description, the better we will be able to assist you.
What's the incident's nature?
Distance violation
Lane violation
Absolute violation
Traffic violation
Unparking/Parking
Priority on the right
Other
When did it happen?
*
Where did it happen?
*
What exactly happened in short?
Was there any police involvement (i.e police report)?
Yes
No
Police report in case of police involvement - if any
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What's the Hellas Direct customer's vehicle certification document?
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What's the Hellas Direct customer's ID card document?
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What's the involved person's vehicle certification document?
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What's the involved person's ID card document?
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Are there any policy documents of the involved parties?
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Are there any photos of the damages of the insured and the involved parties?
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Are there any liability documents like police report or amicable settlement form?
*
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What's your contact email address?
*
example@example.com
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