Claim form - Prominus Vastgoed B.V.

In order to be able to properly process and handle claims, it is important that this is reported as extensively as possible by means of claim form below.

1. Reporter data

Name:*

Address:*

Place:*

Telephone number:

E-mailaddress:*

2. Property information

Name of the rented property:

Address + number:*

Place:*

3. Description of the claim

Type of claim:*

Date of observation:*

Nature of damage:*

Description of the claim:*

Attach photo:

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Max 10MB

Claim form upload*

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Copy claim form*

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