Return of premium | Garantifonden for Skadesforsikringsselskaber

File for return of premium, which you have paid to Alpha Insurance and wish to have covered by either The Danish Guarantee Fund for Non-Life Insurance Companies or the bankruptcy estate .

There is an excess of 1.000 DKK. that will be deducted from the final return of premium paid by The Danish Guarantee Fund. The 1.000 kr. will automatically be handled as a claim towards the bankruptcy estate.

Return of premium form

Please review the form thoroughly before you start to make sure you have all the required information

Client type*

Is the policy owner a private person or a commercial entity?

Private
Commercial

Country, product and coverholder*

Country: The country where the policy was bought
Product: The product is your type of insurance
Coverholder: The coverholder is the seller of the insurance - where you have bought the policy. Information about the coverholder is stated in your policy document.

Are you submitting this form on behalf of the policyholder?*

No (I am the Policyholder)
Yes

Notifier information

Reason for notifying on be-half of the policyholder*

Represent the policyholder as a lawyer
Represent the policyholder
I have received security or collateral from the policyholder.

Describe the background for representing the policyholder*

Name*

Company name

Street address*

Street address 2

Postal code*

City*

Country*

Email for notifier*

Enter Email Confirm Email

Policyholder information

The policyholder is*

The owner and resident of the insured property
The developer

Name of policyholder*

Date of birth*

Social security number*

VAT number*

Street address*

Street address 2

Postal code*

City*

Country*

Email for policyholder*

Enter Email Confirm Email

Telephone number

Please state your telephone number including country code - e.g. + 4412345678

Policy information

Kindly submit a claim for each certificate/ policy number stated on your policy document.

The policy was acquired*

Directly with CRL/BCR
In connection with the purchase of the property

Policy number / certificate number*

Please state policy number exactly as written in your policy

Policy number / certificate number*

Please confirm your policy number / certificate number

Plot or unit number (where applicable)

Policy inception date*

Policy Expiry date*

Has the policy been terminated?*

All policies terminated the 11 August 2018 (does not include Danish worker´s compensation), unless you can prove that you have terminated the policy earlier. Danish Worker’s compensation terminated the 31 May 2018.

No
Yes

Termination date*

Only state a date, if the policy is terminated before the 11 August 2018