Claims Reporting

Here you can use an electronic form to report your insurance claim. The information on how to proceed in the event of an accident, damage to or theft of your vehicle is available here.

Indicated data are required

Claims Reporting Form

Data on Lessee



Damaged vehicle
(The required data about your vehicle can be obtained from your service card)

 Vehicle is:

Service centre (where it will be repaired)

Data on Damage

Investigated by the police:

The detected alcohol:

Data on Counterparty


Vehicle data


To expedite the handling of the claim in respect of your vehicle, we recommend that you always enclose a copy of your driving licence with this report. In addition, you can enclose photographs documenting the damage or a police record.

Unless you do so now, please send a copy of your driving licence by e-mail to or send a legible photocopy to our registered office: HERTZ Lease, Prievozská 4/B, 821 09 Bratislava

I agree to provide personal data to Hertz Lease and confirm that all stated facts are complete and true.

The data will be used solely for the purposes of processing this report and for Hertz Lease's communication with you and the insurer.