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.
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
For assistance support, contact directly AIG Assistance :

+33 1 49 02 46 70 - fr.assistance@aig.com

+49 69 22 22 80 17 -  de.assistance@aig.com

+39 02 36 00 06 83 -  it.assistance@aig.com

+34 911 149 989 -  es.assistance@aig.com
What happened ?*
What happened ?*
What happened ?*
What happened ?*
What happened ?*
insurer
do_not_send_report
language
claimhandler
fromEmail
replyTo
claim_subtype
Date

MonthDayYear
Date
claim_subtype_new

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
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 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.
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*
Copy of the police report*

Cancelof
claim_type

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)*
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

Qover Privacy Notice
Your personal data will be collected and processed by Qover SA (hereinafter ‘Qover’) that is independent controller responsible for the processing of the personal data you are required to share when you submit your claim. The data will be processed only for the purpose of the use of the services provided by Qover, including risk assessment, insurance contract management, claims handling and crime prevention (such as fraud) as well as to allow Qover to fulfill its legal obligations. Qover may disclose personal data to third parties, such as service providers, subcontractors, or to our partners such as Qonto, 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, erasure or restriction of processing or to object to processing as well as the right to data portability. To exercise these rights, you may contact at any time by writing Qover’s DPO at privacy@qover.com. For further information about how Qover processes your data please visit our Privacy Policy - EN.*

I have read and agreed to the Privacy Notice above
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 have read and agreed to the Privacy Notice above
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.*

I confirm
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