Online Enquiry Form

Details about the Enquirer

Fields marked with * are mandatory fields.

The mandatory information is necessary for the determination of the motor vehicle liability insurer according to § 8a of the German compulsory insurance law ("Pflichtversicherungsgesetz") and for evaluating the authorization of the request. In order to facilitate a quicker evaluation and settlement of the claim, some insurers have asked us to include further claims data on their behalf. If you are ready to provide further information, please fill in the fields provided.

Are you the Claimant in the accident?

Yes

Enquiry type:

Please select the appropriate Enquirer type from the list.

What type of insurance? / Which Insurer? *

Please select from the list the insurance carrier for the damaged vehicle. (Only if insurer is German.)

Name:*

Please enter your name using the following format "Last Name, First Name”. Enter the name of the Company/institution, in case of a legal person entity.

Please enter your name (50 characters max).

Street and No.:*

Please enter the street address of the Enquirer or Company.

Please enter the street (50 characters max).

Country:*

Please select the country where the Enquirer or the Company are registered.

Postal code:*

Please enter the postal code of the Enquirer or the Company here.

Please enter a valid post code.

City:*

Please enter the city of the Enquirer or the Company headquarters.

Please enter the place of residence. ( 50 characters max).

Telephone:

This is where you may enter your telephone number. This voluntary information may facilitate quicker claims settlement for the Insurer data protection information.

Please enter a valid telephone number

Fax:

This is where you may enter you fax number. This voluntary information may facilitate quicker claims settlement for the Insurer data protection information.

Please enter a valid fax number.

Email:*

The Zentralruf response will be sent to that address.

Please enter a valid email address.

License number:

Please enter the license number of the damaged vehicle. Make sure to include the "H" or the "E” in case of historical and electric vehicles.

Please enter a valid license number.

Roadworthiness:

“Roadworthy” refers to a vehicle that can move of its own accord and transport in it is safe. This is voluntary information.

Your reference:*

You can choose any type of reference, for example your initials or the date. We need it only as an allocation criterion for our communication with you.

Please enter a reference (e.g. your initials, 50 Characters max).

Details about the Claimant

Fields marked with * are mandatory fields.

Name of the Claimant:

You can enter the name of the Claimant here. This voluntary information may facilitate quicker claim processing by the responsible Insurer data protection information.

Please enter the claimant's name.

Street:

You can enter the street address of the Claimant here. This voluntary information may facilitate quicker claim processing by the responsible Insurer data protection information.

Please enter the claimant's street and Number. (50 characters max.)

Country:

You can choose the country of the Claimant here. This voluntary information may facilitate quicker claim processing by the responsible Insurer data protection information.

PLZ:

Bitte geben Sie die PLZ im Bereich XXX ein.

Please enter a valid post code.

City:

You can enter the location of the Enquirer here. This voluntary information may facilitate quicker claim processing by the responsible Insurer. PLZ: Postal code:

Bitte geben Sie die PLZ im Bereich XXX ein. data protection information.

Please enter the claimant's place of residence (50 charactes max.)

Telephone:

You can enter the telephone number of the Claimant here. This voluntary information may facilitate quicker claim processing by the responsible Insurer data protection information.

Please enter a valid telephone number

Fax:

You can enter the fax number of the Claimant here. This voluntary information may facilitate quicker claim processing by the responsible Insurerdata protection information.

Please enter the claimant's fax number.

Email:

You can enter the email address of the Claimant here. This voluntary information may facilitate quicker claim processing by the responsible Insurerdata protection information.

Please enter a valid e-mail address.

License number of the Claimant:

You can enter the license number of the damaged vehicle here. This voluntary information may facilitate quicker claim processing by the responsible Insurer data protection information.

Please enter a valid license number.

Roadworthiness:

“Roadworthy” refers to a vehicle that can move of its own accord and transport in it is safe. This is voluntary information.

Details about the accident

Fields marked with * are mandatory fields.

License number (other party):*

Please enter the registration number of the other party in the accident vehicle. Make sure to include the "H" or the "E” in case of historical and electric vehicles.

Please enter a valid license number (other party)

Day of the accident (dd/mm/yyyy):*

Please enter the date of the accident day.

Please choose the date of the accident or type it in (dd/mm/yyyy)

Country of accident:*

Please select the country in which the accident occurred.

Please enter the country of the accident.

Name of the Keeper (other car):

You can enter the name of the other party in the accident here. This voluntary information may facilitate quicker claims settlement by the responsible Insurer. Please read our data protection information.

Please enter the other party's Name (50 characters max.)

Street of the Keeper (other car):

You can enter the street of the other party in the accident here. This voluntary information may facilitate quicker claims settlement by the responsible Insurer data protection information.

Please enter the other party's street and number.

Country of Keeper:*

Please select the country in which the other/opposing party vehicle is registered.

Post code:

You can enter the postal code of the other party in the accident here. This voluntary information may facilitate quicker claims settlement by the responsible Insurer data protection information.

Please enter a valid post code.

City of Keeper (other car):

You can enter the city of the other party involved in the accident here. This voluntary information may facilitate quicker claims settlement by the responsible Insurer data protection information.

Please enter the other party's place of residence.

Important notification regarding insurance investigations

The Zentralruf (central service centre) for motor vehicle insurers determines after a traffic accident who the responsible motor vehicle liability insurer of the other party in the accident is. The investigation will take place for persons with a legitimate interest, such as the Claimant in the accident and his/her representative or organisations in conjunction with claims adjustment. We will prosecute any misuse of the enquiry forms as well as information obtained fraudulently via the Zentralruf of the motor vehicle insurers.

* I certify that I have a legitimate interest to retrieve the data. The above notification regarding an insurance investigation has been duly noted.

Please tick the box "accept privacy policy".

* Please enter the characters shown on the screen below. This is to prevent spam mailings. The entry is not case sensitive.

If you can't read the word, click here.

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Using adress cookies

Simplify repeated enquiries by allowing a cookie to store your address data. The cookie will expire automatically after one year.

Your address data has been saved.

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Do you require assistance in finding the insurance carrier of the other party in the accident?

You can reach the Zentralruf of the motor vehicle insurers by telephone at 0800 25 026 00.

From outside of Germany please call +49 40 300 330 300.

Not all mandatory fields have an entry.