Online Claim Form
Contact Information
Customer Number
Company Name
Contact Name and Surname
Email:
Phone:
Vehicle Information
Plate Number
Brand/Model
Delivery Date of the Vehicle
Detailed Description of your Claim
5000 characters left.
What do you expect from BCA? (please mention the amount of your claim)
1500 characters left.
Add Photos and/or Documents
(File formats accepted: pdf, jpg, tiff, png, gif. Individual files may not exceed 2 MB.)
The asterisk "
*
" denotes a required field
Contact Information
April, 2025
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