Damage Account Number Notification

Damage Account Number Notification Notices of Rights Holders
Victim ID is missing or entered incorrectly.
Plate ID is missing or entered incorrectly.
Personal Information
T.C. ID is missing or entered incorrectly.
Gsm field cannot be left blank.
The phone field cannot be left blank.
E-mail is missing or entered incorrectly.
Account info
The province field cannot be left blank.
Bank field cannot be left blank.
Branch field cannot be left blank.
Account Number is missing or entered incorrectly.
Attention please
*Do not fill in this form for the files received by proxy.
* The person whose account number is reported must be insured / licensed.
If a different person's account number is reported, the transaction will not take place. SOMPO Sigorta A.Ş. is not responsible.
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