{"id":369,"date":"2020-05-12T01:31:05","date_gmt":"2020-05-12T01:31:05","guid":{"rendered":"https:\/\/mycic.eu\/?page_id=369"},"modified":"2020-05-12T02:03:05","modified_gmt":"2020-05-12T02:03:05","slug":"submit-claim-as-injured-party","status":"publish","type":"page","link":"https:\/\/mycic.eu\/de\/submit-claim-as-injured-party","title":{"rendered":"Anspr\u00fcche als Gesch\u00e4digter geltend machen"},"content":{"rendered":"<p><\/p>\n\n\n\n<h2 class=\"has-text-align-left\" style=\"font-size:41px\">Bitte geben Sie die folgenden Informationen an.<\/h2>\n\n\n\n<div style=\"height:24px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div role=\"form\" class=\"wpcf7\" id=\"wpcf7-f371-o1\" lang=\"en-US\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/de\/wp-json\/wp\/v2\/pages\/369#wpcf7-f371-o1\" method=\"post\" class=\"wpcf7-form init\" novalidate=\"novalidate\" data-status=\"init\" data-trp-original-action=\"\/de\/wp-json\/wp\/v2\/pages\/369#wpcf7-f371-o1\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"371\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.5.2\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f371-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/div>\n<p><label> Angaben zum Gesch\u00e4digten<\/p>\n<p><label> Nachname oder Name der Gesellschaft<br \/>\n<span class=\"wpcf7-form-control-wrap text-100\"><input type=\"text\" name=\"text-100\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Vorname<br \/>\n<span class=\"wpcf7-form-control-wrap text-101\"><input type=\"text\" name=\"text-101\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> E-Mail Adresse<br \/>\n<span class=\"wpcf7-form-control-wrap email-100\"><input type=\"email\" name=\"email-100\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-email\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Telefon Nummer<br \/>\n<span class=\"wpcf7-form-control-wrap number-600\"><input type=\"number\" name=\"number-600\" value=\"\" class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Angaben zum bei der Lev Ins versicherten Fahrzeugs<\/p>\n<p><label> Fahrzeugtyp<br \/>\n<span class=\"wpcf7-form-control-wrap menu-700\"><select name=\"menu-700\" class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\"><option value=\"Car\">Car<\/option><option value=\"Bus\">Bus<\/option><option value=\"Truck\">Truck<\/option><option value=\"Trailer\">Trailer<\/option><option value=\"Other\">Other<\/option><\/select><\/span> <\/label><\/p>\n<p><label> Amtliches Kennzeichen<br \/>\n<span class=\"wpcf7-form-control-wrap text-102\"><input type=\"text\" name=\"text-102\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Name der gegnerischen Versicherung<br \/>\n<span class=\"wpcf7-form-control-wrap text-103\"><input type=\"text\" name=\"text-103\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Versicherungsscheinnummer<br \/>\n<span class=\"wpcf7-form-control-wrap text-104\"><input type=\"text\" name=\"text-104\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Angaben zum besch\u00e4digten Fahrzeug<\/p>\n<p><label> Fahrzeugtyp<br \/>\n<span class=\"wpcf7-form-control-wrap menu-702\"><select name=\"menu-702\" class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\"><option value=\"Car\">Car<\/option><option value=\"Bus\">Bus<\/option><option value=\"Truck\">Truck<\/option><option value=\"Trailer\">Trailer<\/option><option value=\"Other\">Other<\/option><\/select><\/span> <\/label><\/p>\n<p><label> Fahrzeughersteller<br \/>\n<span class=\"wpcf7-form-control-wrap text-105\"><input type=\"text\" name=\"text-105\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Modell<br \/>\n<span class=\"wpcf7-form-control-wrap text-106\"><input type=\"text\" name=\"text-106\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Amtliches Kennzeichen<br \/>\n<span class=\"wpcf7-form-control-wrap text-107\"><input type=\"text\" name=\"text-107\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Name der gegnerischen Versicherung<br \/>\n<span class=\"wpcf7-form-control-wrap text-108\"><input type=\"text\" name=\"text-108\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Versicherungsscheinnummer<br \/>\n<span class=\"wpcf7-form-control-wrap text-109\"><input type=\"text\" name=\"text-109\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Handelt es sich bei diesem Fahrzeug um ein Leasingfahrzeug?<br \/>\n<span class=\"wpcf7-form-control-wrap text-110\"><input type=\"text\" name=\"text-110\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Besteht f\u00fcr dieses Fahrzeug eine KASKO Versicherung?<br \/>\n<span class=\"wpcf7-form-control-wrap text-111\"><input type=\"text\" name=\"text-111\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Angaben zum Verkehrsunfall<\/p>\n<p><label> Unfallland<br \/>\n<span class=\"wpcf7-form-control-wrap text-112\"><input type=\"text\" name=\"text-112\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Unfallort<br \/>\n<span class=\"wpcf7-form-control-wrap text-113\"><input type=\"text\" name=\"text-113\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Unfalldatum<br \/>\n<span class=\"wpcf7-form-control-wrap text-114\"><input type=\"text\" name=\"text-114\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Unfallzeit<br \/>\n<span class=\"wpcf7-form-control-wrap text-115\"><input type=\"text\" name=\"text-115\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Beschreibung des Unfallhergangs<br \/>\n<span class=\"wpcf7-form-control-wrap textarea-500\"><textarea name=\"textarea-500\" cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\"><\/textarea><\/span> <\/label><\/p>\n<p><label> Fragen zum Verkehrsunfall<\/p>\n<p><label> Haben Sie das Lev Ins CallCenter kontaktiert?<br \/>\n<span class=\"wpcf7-form-control-wrap checkbox-213\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"checkbox-213[]\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Ja<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"checkbox-213[]\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">Nein<\/span><\/span><\/span><\/span> <\/label><\/p>\n<p><label> Haben Sie am Unfallort Fotos gemacht?<br \/>\n<span class=\"wpcf7-form-control-wrap checkbox-214\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"checkbox-214[]\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Ja<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"checkbox-214[]\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">Nein<\/span><\/span><\/span><\/span> <\/label><\/p>\n<p><label> Sprechen Sie die Sprache, die am Unfallort gesprochen wird?<br \/>\n<span class=\"wpcf7-form-control-wrap checkbox-215\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"checkbox-215[]\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Ja<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"checkbox-215[]\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">Nein<\/span><\/span><\/span><\/span> <\/label><\/p>\n<p><label> Glauben Sie, dass Sie den Unfall verschuldet haben?<br \/>\n<span class=\"wpcf7-form-control-wrap checkbox-216\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"checkbox-216[]\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Ja<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"checkbox-216[]\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">Nein<\/span><\/span><\/span><\/span> <\/label><\/p>\n<p><label> Hat die Polizei am Unfallort aufgesucht?<br \/>\n<span class=\"wpcf7-form-control-wrap checkbox-217\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"checkbox-217[]\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Ja<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"checkbox-217[]\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">Nein<\/span><\/span><\/span><\/span> <\/label><\/p>\n<p><label> Ist eine polizeiliche Unfallaufnahme erfolgt?<br \/>\n<span class=\"wpcf7-form-control-wrap checkbox-218\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"checkbox-218[]\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Ja<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"checkbox-218[]\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">Nein<\/span><\/span><\/span><\/span> <\/label><\/p>\n<p><label> Wurden Sie wegen des Unfalls verwarnt oder wurden strafrechtliche Ermittlungen gegen Sie eingeleitet?<br \/>\n<span class=\"wpcf7-form-control-wrap checkbox-219\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"checkbox-219[]\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Ja<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"checkbox-219[]\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">Nein<\/span><\/span><\/span><\/span> <\/label><\/p>\n<p><label> Wurde ein Europ\u00e4ischer Unfallbericht ausgef\u00fcllt?<br \/>\n<span class=\"wpcf7-form-control-wrap checkbox-222\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"checkbox-222[]\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Ja<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"checkbox-222[]\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">Nein<\/span><\/span><\/span><\/span> <\/label><\/p>\n<p><label> Sind Sie unter dem Einfluss von Alkohol oder Drogen gefahren?<br \/>\n<span class=\"wpcf7-form-control-wrap checkbox-232\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"checkbox-232[]\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Ja<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"checkbox-232[]\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">Nein<\/span><\/span><\/span><\/span> <\/label><\/p>\n<p><label> Ist der Unfallgegner unter dem Einfluss von Alkohol oder Drogen gefahren?<br \/>\n<span class=\"wpcf7-form-control-wrap checkbox-242\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"checkbox-242[]\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Ja<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"checkbox-242[]\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">Nein<\/span><\/span><\/span><\/span> <\/label><\/p>\n<p><label> Gibt es Zeugen des Verkehrsunfalls?<br \/>\n<span class=\"wpcf7-form-control-wrap checkbox-252\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"checkbox-252[]\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Ja<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"checkbox-252[]\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">Nein<\/span><\/span><\/span><\/span> <\/label><\/p>\n<p><label> Wenn ja - Name \/ E-Mail \/ Telefonnummer angeben<br \/>\n<span class=\"wpcf7-form-control-wrap text-116\"><input type=\"text\" name=\"text-116\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Wieviele Passagiere waren in dem Fahrzeug des Unfallgegners?<br \/>\n<span class=\"wpcf7-form-control-wrap text-117\"><input type=\"text\" name=\"text-117\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Wurde jemand verletzt?<br \/>\n<span class=\"wpcf7-form-control-wrap checkbox-262\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"checkbox-262[]\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Ja<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"checkbox-262[]\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">Nein<\/span><\/span><\/span><\/span> <\/label><\/p>\n<p><label> Wenn ja - Anzahl der verletzten Personen und Art der Verlutzungen angeben<br \/>\n<span class=\"wpcf7-form-control-wrap text-118\"><input type=\"text\" name=\"text-118\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><span class=\"wpcf7-form-control-wrap upload-file-900\"><input type=\"file\" size=\"40\" class=\"wpcf7-form-control wpcf7-drag-n-drop-file d-none\" aria-invalid=\"false\" multiple=\"multiple\" data-name=\"upload-file-900\" data-id=\"371\" data-version=\"free version 1.3.6.2\" accept=\".\" \/><\/span><\/p>\n<p><input type=\"submit\" value=\"Absenden\" class=\"wpcf7-form-control has-spinner wpcf7-submit\" \/><\/p>\n<div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div><input type=\"hidden\" name=\"trp-form-language\" value=\"de\"\/><\/form><\/div>\n\n\n\n<div style=\"height:63px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-large is-resized\"><img loading=\"lazy\" src=\"https:\/\/centerforinsuranceclai.live-website.com\/wp-content\/uploads\/2020\/04\/cropped-Cic-LogoPng-1.png\" alt=\"\" class=\"wp-image-91\" width=\"690\" height=\"136\" srcset=\"https:\/\/mycic.eu\/wp-content\/uploads\/2020\/04\/cropped-Cic-LogoPng-1.png 1000w, https:\/\/mycic.eu\/wp-content\/uploads\/2020\/04\/cropped-Cic-LogoPng-1-300x59.png 300w, https:\/\/mycic.eu\/wp-content\/uploads\/2020\/04\/cropped-Cic-LogoPng-1-768x151.png 768w\" sizes=\"(max-width: 690px) 100vw, 690px\" \/><\/figure><\/div>\n\n\n\n<hr class=\"wp-block-separator\"\/>\n\n\n\n<p class=\"has-text-align-center\"><a href=\"https:\/\/mycic.eu\/de\/\">Copyright\u00a9 Center for Insurance Claims 2020<\/a>\u00a0|\u00a0<a href=\"https:\/\/mycic.eu\/de\/impressum\/\">Impressum<\/a> | <a href=\"https:\/\/mycic.eu\/de\/data-protection\/\">Datenschutz<\/a><\/p>","protected":false},"excerpt":{"rendered":"<p>Please fill in the information below. Copyright\u00a9 Center for Insurance Claims 2020\u00a0|\u00a0Imprint | Data Protection<\/p>","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_coblocks_attr":"Helvetica","_coblocks_dimensions":"","_coblocks_responsive_height":"","_coblocks_accordion_ie_support":"","_starter_page_template":""},"_links":{"self":[{"href":"https:\/\/mycic.eu\/de\/wp-json\/wp\/v2\/pages\/369"}],"collection":[{"href":"https:\/\/mycic.eu\/de\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/mycic.eu\/de\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/mycic.eu\/de\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/mycic.eu\/de\/wp-json\/wp\/v2\/comments?post=369"}],"version-history":[{"count":3,"href":"https:\/\/mycic.eu\/de\/wp-json\/wp\/v2\/pages\/369\/revisions"}],"predecessor-version":[{"id":378,"href":"https:\/\/mycic.eu\/de\/wp-json\/wp\/v2\/pages\/369\/revisions\/378"}],"wp:attachment":[{"href":"https:\/\/mycic.eu\/de\/wp-json\/wp\/v2\/media?parent=369"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}