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Personal Information

Full name of the insured or declarant
Personal identification number or company identification code

Insurance Information

International Bank Account Number (IBAN) for compensation payment

Event Information

Format: DD-MM-YYYY
24-hour format
Example: Police - Sofia Police Department, Protocol No. 12345
Provide as many details as possible.

Address Information

Attach Documents

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Allowed formats: PDF, JPG, PNG (max 10MB per file)
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