Qonto Claim

Card insurance claim form
Date of incident

DayMonthYear
Date
Hour Minutes
Type of card
If you have more than one Qonto card issued in your name, select the most premium card you held at the moment of the transaction and incident. If you used a X-card Mirror, please select the type of card X.
What type of claim do you wish to submit?
What type of claim do you wish to submit?
What type of claim do you wish to submit?
Date of purchase

DayMonthYear
Date
ref_country
This claim form is linked to the new insurance program launched on the 1st of january 2023. For claims linked to transactions in 2022 for "Fraudulent usage of the card" & "Order execution", submit your claim here :

France - sinistres.fr@aig.com
Spain - es.travelclaims@aig.com
Italy - sinistri.ita@aig.com
Germany - de.travelclaims@aig.com
Items purchased prior to 01/01/2023 are not eligible
Travel booked prior to 01/01/2023 must be declared here :

France - sinistres.fr@aig.com
Spain - es.travelclaims@aig.com
Italy - sinistri.ita@aig.com
Germany - de.travelclaims@aig.com

What happened ?
What happened ?
What happened ?
What happened ?
What happened ?
insurer
do_not_send_report
language
claimhandler
fromEmail
replyTo
claim_subtype

Country	Phone	Email
🇫🇷 France	+33 1 49 02 46 70	fr.assistance@travelguard.com
🇩🇪 Germany	+49 69 22 22 80 17	assist@worldtravelprotection.com
🇮🇹 Italy	+39 02 36 00 06 83	it.assistance@travelguard.com
🇪🇸 Spain	+34 911 149 989	assist@worldtravelprotection.com
🇳🇱 Netherlands	+44 208 156 2632	assist@worldtravelprotection.com

Save time by reading the details below

We don’t want you to waste your time and file a claim that might be not be eligible
You must have purchased the travel or the item with a Qonto card

On the incident date, you must have a valid Qonto card
Purchase protection

Items purchases more than 365 days ago are not eligible for purchase protection

Those types of items are not eligible :
-Animals, plants, food or drink
-Motor vehicles
-Cash, checks, bonds, securities, shares, investment or negotiable instrument
-Tickets for sports, cultural events or concerts
-Jewellery, gems, works of art, gold and silverware
-Goods purchased for resale
-Weapons
-Counterfeit goods
Purchase protection

Items purchases more than 365 days ago are not eligible for purchase protection

Those types of items are not eligible :

- Phones & smartphones
- Animals, plants, food or drink
- Motor vehicles
- Cash, checks, bonds, securities, shares, investment or negotiable instrument
- Tickets for sports, cultural events or concerts
- Jewellery, gems, works of art, gold and silverware
- Goods purchased for resale
- Weapons
- Counterfeit goods
⚠️ Important: Please note that the assistance provider may advance a sum to the insured in order to resolve their situation, but the amounts lent will subsequently be claimed back from the insured upon their return from the trip, who undertakes to reimburse them.

The following situations are not eligible:
- Legal proceedings abroad for which the insured does not have to pay a penal bail bond (fines abroad are therefore not covered).
- Legal proceedings taking place in the insured's country of residence.
- Legal proceedings related to intentional offenses (theft, assault and battery, etc.).
- Legal proceedings related to a violation of the local highway code, drunk driving, or intentional misconduct.
- Trips extending over a period of more than 90 days.
- Trips within a radius of 100 km from the cardholder's home.
- Trips to Cuba, North Korea, Crimea, Sudan, Syria, Iran, the Donetsk People's Republic, or the Luhansk People's Republic.
Purchase protection

Items purchases more than 90 days ago are not eligible for purchase protection

Those types of items are not eligible :
-Phones & smartphones
-Animals, plants, food or drink
-Motor vehicles
-Cash, checks, bonds, securities, shares, investment or negotiable instrument
-Tickets for sports, cultural events or concerts
-Jewellery, gems, works of art, gold and silverware
-Goods purchased for resale
-Weapons
-Counterfeit goods
Fraudulent payment

You are covered in case of fraudulent purchases with your card or withdrawals from your account, in case your card was stolen or lost.

Transactions made before the theft or loss and after the card has been blocked are not eligible.

All within the limit of €1,500 per card.
Fraudulent payment

You are covered in case of fraudulent purchases with your card or withdrawals from your account, in case your card was stolen or lost.

Transactions made before the theft or loss and after the card has been blocked are not eligible.

All withing the limit of €3,000 per card.

Phishing

Transactions made before the phishing and after the card has been blocked are not eligible.
Travel issue

Those situations are not eligible:

-Travels that extend a period of 90 days
-Travels within a 100 km radius of the cardholders home
-Travels to Cuba, North Korea, Crimea, Sudan, Syria, Iran, Donetsk People's Republic or Luhansk People's Republic
-Travel delayed/postponed/cancelled due to the absence of mandatory identification documents
-Voluntary no show at the departure place and time of the transport
-Travel delays shorter than 2h for a train, 4h for a charter flight and 6h for a regular flight
-Luggage not officially registered at the transport company
-Rental car rented for more than 60 days or without insurance

You can find more information regarding your flight cancellation rights here: https://www.euclaim.com/regulation-261-2004

You will need to upload the following documents:
Make sure you have those documents prior to going further on this claims form, otherwise you won't be able to submit the claim !
Invoice or receipt for the item

We require the invoice relating to the transaction you want to claim for. This must include the description of the item and the amount paid.
Police report

We require a report from the police detailing the theft and stating which items have been stolen.
Pictures of damaged item

We require picture(s) showing to what extent this item has been damaged.

Repair-invoice if the item has already been repaired

We require the invoice for any repairs.

Quote or formal statement from a repair shop if the item still needs to be repaired or is unrepairable
- In case your item is repairable, we require a quote from any repair shop
- In case your item cannot be repaired, we require a formal statement that the item cannot be repaired from any repair shop.
Invoice or receipt of the travel purchase

We require the invoice relating to the transaction you want to claim for. This must include the description of the item and the amount paid.
Trip cancellation, report or interrupt attest

We require the attest that your trip has been cancelled, reported or interrupted.
Travel delayed

We require the proof that your travel has been delayed including the delayed schedule. The transport carrier can issue this proof for you.

Expenses invoice or receipt

We require all invoices and receipt to justify the neccessary expenses you made until you finaly arrive at your destination
Luggage delayed

We require the certificate from the carrier that your luggage has been delayed.

Expenses invoice or receipt

We require all invoices and receipts to justify the necessary expenses you made until your luggage finally arrived at your destination.
Luggage loss or stolen proof

We require the certificate from the carrier that your luggage has been lost or the police report attesting that your luggage has been stolen.

List of lost/stolen goods

We require the list of all lost/stolen goods and all invoices and receipts to justify them.
Damaged luggage picture

We require the pictures of the damage to the luggage and your damaged personal belonging.

List of damaged goods

We require the list of all damaged goods and all invoices and receipts to justify them.
Car rental documents

We require the copy of the car rental contract and the attest that you had to pay the waiver to the renter.
⚠️ Important: You need the following documents to continue your claim

📄 Invoice or receipt of the item

We need the invoice relating to the transaction you wish to claim. It must include the description of the item and the amount paid.

📄 Proof of security deposit

Proof of a security deposit or signature of an acknowledgment of debt, for the penal bail bond when required by local judicial authorities.
Mountain incident document

We require all usefull document that you can have to describe and justify the issue you have encounter while on your ski & mountain trip
Attest of card stop reporting

We require the attest that you have reported your card as stolen or lost in order to disable it's validity.

Police report

We require a report from the police detailing the theft and stating which items have been stolen.
Attest of card stop reporting

We require the attest that you have reported your card as stolen or lost in order to disable it's validity.

Police report

We require a report from the police detailing the theft and stating which items have been stolen.

Cardholder information

Please provide us the following details about the cardholder
Full name

First NameLast Name
Email
example@example.com
Phone number
Birthdate

DayMonthYear
Date
IBAN of your Qonto account
Provide here your bank account number in IBAN format
In which country have you registered your Qonto account ?
claimant_entityType
claimant_address_country

Incident details
Incident description
Explain what happened
Street of the incident
Street number of the incident
Postal code of the incident
City of the incident
Country of the incident
Do you have another insurance covering the same risk ?
Provide the name of the insurer and the contract number
By clicking next you confirm that all the information you have provided is accurate and complete to the best of your knowledge. Submitting false or misleading information may be considered fraud, which could result in the denial of your claim and further action being taken.
Copy of the police report

Cancelof
claim_type
claim_type_new

Transaction

Purchased item transaction or travel booking transaction
Which card did you use to perform this transaction ?
Four last digits of your Qonto card used for the transaction
Name of the merchant the item was purchased from
Please provide as much contact information about the merchant as possible
Total amount (including VAT)?
Currency
Is your item included in one of the exclusion categories listed below?
Unfortunately, this category of item is excluded from the coverage. As a consequence you are not able to file a claim for this item.
Description of the item
Copy of the invoice or receipt

Cancelof

Purchase protection
Is it a total loss ?
Upload the repair quote or total loss attest from the repairer

Cancelof
Upload the repair invoice if the item is already repaired

Cancelof
Upload pictures of the damage

Cancelof

Phishing & Fraudulent payments
What are the last 4 digits of the cards that has been lost or stolen ?
List of concerned transaction and payments
include a date, an amount and the merchant of each transaction
Total amount claimed
Bank statement of those transactions

Cancelof
Card stop confirmation

You can add the email notification received from support@qonto.com that confirms that your card has been desactivated. Or join a printscreen of your card status in your Qonto app.
Cancelof
Police report

Cancelof
Please note that insurance can only be provided after intervention by Qonto. Therefore, you must always report transactions that you dispute to Qonto (hello@qonto.com). If you have not yet done so, please contact them directly after completing this form.

Travel issue
Initially planned journey

Please provide the information regarding the initially planned journey
Departure city and country
Departure date & time

DayMonthYear
Date
Hour Minutes
Destination city and country
Return date & time

DayMonthYear
Date
Hour Minutes
Transport means
Transport number
e.g flight number
Travel issue details
Explain why was your travel delayed / cancelled
Cancellation date

DayMonthYear
Date when you notified the carrier and cancelled the trip
Total amount claimed
Delay duration (hours)
Please enter a valid number in hours (e.g., 1.5 for 1 hour and 30 minutes)
Trip cancellation proof

Cancelof
Travel or luggage delayed/lost proof

Cancelof
Picture of the damage

Cancelof
List of damaged goods

Cancelof
Have you tried resolving this issue directly with the carrier ?
Amount received in compensation from the carrier
Deductible amount
Insurer email & file number
Car rental contract, repair quote, email confirmation

Cancelof
Expenses, invoices or receipts

Cancelof

Data protection statement
Consent processing of personal data
Privacy policy
Privacy policy of CoverMore & Privacy policy of Qover
AIG Privacy Notice
The personal data collected by AIG Europe SA is collected for the purpose of handling claims. The insurer may also use the personal data collected for the prevention of crime (in particular in the fight against fraud and money laundering). The insurer may disclose personal data to its group companies, service providers and other third parties for the same purposes. Personal data may be transferred abroad, including to countries outside the European Economic Area. Such transfers are subject to appropriate safeguards, including contractual safeguards, in accordance with applicable European regulations. The persons concerned have certain rights relating to their personal data and in particular the rights of access, rectification, limitation of use, opposition, deletion or portability. If you provide data concerning a third natural person, you must inform the latter of his rights and be authorized (as far as possible) to disclose them on his or her behalf. Further information on the insurer's use of personal data and the rights of data subjects is available at http://www.aigassurance.fr/protection-des-donnees-personnelles. Any data subject may exercise his/her rights by writing to AIG Service Conformité, Tour CBX-1 Passerelle des reflets - 92040 Paris La Défense Cedex or by e-mail to donneespersonnelles.fr@aig.com.
I hereby declare that I have answered the questions to the best of my knowledge, accurate, in accordance with the truth and not to have concealed any information relating to this claim; I am aware of the stipulation that any right to benefit may lapse with an untrue statement; I have knowledge of the contents of this form.
Should be Empty:

Card insurance claim form

Save time by reading the details below

You will need to upload the following documents:

Cardholder information

Incident details

Transaction

Purchase protection

Phishing & Fraudulent payments

Travel issue

Initially planned journey

Travel issue details