Report a claim

Click here to access the FRENCH form

Any claim must be notified WITHIN 5 DAYS of such accident (or 2 days in case of theft).

Step 1:
Fulfill out "preliminary" online claim form to comply with above requirements.
A summary will automatically be sent to you by email.
Mandatory fields are preceded by an asterisk *

Step 2 :
Once your preliminary form is received, you will receive by email a comprehensive accident form to be fulfilled and signed.

Accident

Cette section a été masquée, cliquer pour l'afficher à nouveau.

Cette section a été complétée, cliquer pour l'afficher à nouveau.

* Circumstances

* Have you suffered any material damage?

Yes No

* Bodily injuries?

Yes No

* Is an aircraft involved in the accident?

Yes No

Registration/ Owner's name

* Description of damaged parts

Enclose picture 1 (if you have one)

Enclose picture 2

Enclose repair estimate (if you have one - PDF)

Third Parties and Witnesses

Cette section a été masquée, cliquer pour l'afficher à nouveau.

Cette section a été complétée, cliquer pour l'afficher à nouveau.

Important information :

Take all safety measures to prevent any further deterioration of the aircraft, any damage the wreck could cause to Third Parties …).
Take pictures of the aircraft before removal and during dismantling.
Communicate the details of the contact person (for the loss adjuster or the insurer).
Communicate the contact details of the Third Parties potentially liable and request their declaration.
Do not start any repair before prior adjuster/insurer approval

Which documents should I provide with?

You ought to forward the following documents:

Detailed list of material damages to the aircraft or to third parties’ property.
Contact details of Third parties involved in the claim and possible witnesses.
Pictures of the aircraft before removal and during dismantling.
The police report.
Cost estimate of the repairs.

* Is there a third party involved?

Yes No

* Is there any witness?

Yes No

* Is there any passenger?

Yes No

Passengers contact details

Your details

Cette section a été masquée, cliquer pour l'afficher à nouveau.

Cette section a été complétée, cliquer pour l'afficher à nouveau.

* Are you insured through AIR COURTAGE ASSURANCES ?

Yes No

Your policy number