Zahteva za dodatni ogled škode

Podatki uspešno poslani.

Oprostite, vaše zahteve trenutno ne moremo obdelati.

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Številka škode:

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Registrska oznaka poškodovanega vozila:

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Vlagatelj zahtevka (servis):

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Deli za zamenjavo:

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Deli za popravilo:

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Številka mobilnega telefona:

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E-poštni naslov:

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Prosimo, da priložite fotografije poškodovanih delov, za katere zahtevate dodatni ogled.

Dovoljenih je do 10 datotek formata .jpeg, .png ali .pdf do skupno 10 MB

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Zahtevane podatke potrebujemo, da ugotovimo vašo identiteto in obdelamo zahtevo. S pošiljanjem povpraševanja preko tega spletnega obrazca se strinjate, da bodo podatki o statusu in obdelavi oddane zahteve dostavljeni na e-naslov [email protected]. Za več informacij o pošiljanju obvestil in obdelavi vaših podatkov preberite naše Informacije o obdelavi osebnih podatkov.

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Potrjujem, da se sem se seznanil z Informacijami o obdelavi osebnih podatkov - data privacy guidelines

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Vnesite besedilo spodaj. 60 preostale sekunde. Ne morete prebrati besedila?

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