Legal claim notice Policy number* First and last name * Phone number E-mail address* Date when event occurred* Location where event occurred* Full name / business name of the counterparty* Counterparty e-mail Counterparty phone Counterparty ID code Counterparty address Event description* Claim to the counterparty* Upload documents related to the case (total maximum 20Mb) File upload – Remove file + Add more file *By submitting the application, I confirm that the information provided in the claim is correct and I consent to the processing of personal data concerning myself. Your claim notice has been submitted. Within two working days, you will be contacted by ERGO's cooperation partner DEAX Õigusbüroo OÜ, with whom a cooperation agreement has been concluded for servicing ERGO's legal protection insurance clients and handling claims. Data transmission error.There was an error transmitting the data. Please send your claim directly to the e-mail address firstname.lastname@example.org.