Your information

Fill in your full name. Example: Adrian George Ionescu

Information about the vehicle

Enter the registration no in the following format: IF 10 ABC

Damage

Yes No

Yes No

This document should be filled in and signed only in case of minor accidents involving no more than two cars and no injuries. Here you can find advice on how to fill in the European Accident Statement
Yes No

Yes No

Location of the damage

To specify the damaged area, click on the corresponding area in the diagram below, then specify the size of the damage in the field that will appear below the diagram:

Size of the damageElement
localizarea daunei
Bară față: large medium small
Capotă față: large medium small
Parbriz față: large medium small
Plafon: large medium small
Capotă spate: large medium small
Bară spate: large medium small
Aripă față stânga: large medium small
Aripă față dreapta: large medium small
Aripă spate stânga: large medium small
Aripă spate dreapta: large medium small
Portieră față stânga: large medium small
Portieră față dreapta: large medium small
Portieră spate stânga: large medium small
Portieră spate dreapta: large medium small
Geam spate stânga: large medium small
Geam spate dreapta: large medium small
Geam față stânga: large medium small
Geam față dreapta: large medium small
Prag stânga: large medium small
Prag dreapta: large medium small
Parbriz spate: large medium small
Far față dreapta: large medium small
Far față stânga: large medium small
Far spate dreapta: large medium small
Far spate stânga: large medium small
  1. Front bumper
  2. Hood
  3. Windshield
  4. Roof
  5. Trunk lid
  6. Rear bumper
  7. Left fender
  8. Right fender
  9. Left quarter panel
  10. Right quarter panel
  11. Left front door
  12. Right front door
  13. Left rear door
  14. Right rear door
  15. Left rear lateral window
  16. Right rear lateral window
  17. Left front lateral window
  18. Right front lateral window
  19. Left threshold
  20. Right threshold
  21. Back window
  22. Right headlight
  23. Left headlight
  24. Right tail light
  25. Left tail light

Do you have any questions about operational leasing? Call the numbers below for individual assistance!

021.9400

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