Customer voice

In case of announcement/ dissatisfaction with insurance company services / insurance products, please fill out the standard form of existing electronic application.

Information about customer
Information about claimant
Should be filled, if the claim is made by the representative of insured
Type of claim *



Desired form for receiving the answer *


Please note:

  • The insurer will answer the claim within ten (ten) working days. If the insurer can not reply to this term (not more than one month) – you will be aware of the reason for the delay and the timeframe for responding (in the form indicated in this application) within 5 (five) working days from receiving the application;
  • You may need to provide additional information and or documentation to review the claim.  In this case, you will be notified about 5 (five) working days after receiving the submitted application.
  • In this case, the ten-day deadline will be calculated from the date of fully requested information/ documentation. If the information will not be presented within 15 (fifteen) days from the date of requesting,  the relevant response will be sent with the form indicated in this application within 30 (thirty) days from the initial reception of claim.
  • The application  made in this form has the same legal force as the written application.