Has anything changed?

Notify us about changes

If there’s a change in your current situation, we’d like to know. Let us know about the change below, and we’ll ensure your insurance is updated accordingly. That way, everything is taken care of properly.

Submit your changes online

What change would you like to report?

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This field is for validation purposes and should be left unchanged.

What does this change pertain to?(Required)

Select all areas this change affects. This allows you to notify us efficiently in one go.

Private insurance

Business insurance

Mortgage

Life insurance

Pension

What type of change would you like to report?(Required)

Select the type of change(s) you wish to notify us about.

Adress

Phone number

Email address

IBAN

Insurance changes

Other

Change of address effective from(Required)

Day

Month

Year

Old / current address(Required)

Street + house number Postal code City

New adress(Required)

Street + house number Postal code City

Change of phone number effective from(Required)

Day

Month

Year

New phone number(Required)

Change of IBAN effective from(Required)

Day

Month

Year

Old IBAN(Required)

New IBAN(Required)

Change of email address effective from(Required)

Day

Month

Year

Old email address(Required)

New email address(Required)

Does this change concern a private vehicle?(Required)

Yes

Does this change concern a business vehicle?(Required)

Yes

Changing a motor vehicle

For changes to a car, van or motorcycle, you can fill in our motor vehicle insurance change form. Would you like to report any additional changes? If yes, please include these on the following page.

Change in insurance effective from(Required)

Day

Month

Year

Description of change(s) to insurance(Required)

Please provide a clear description of the change(s) you'd like to make to your insurance policy.

Other changes(Required)

What other changes would you like to report?

Personal information(Required)

Salutation Initials Infix Surname

Adress(Required)

Street + house number Postal code City

Phone number(Required)

Email address(Required)

Attachments

Drop files here or

Accepted file types: pdf, png, jpg, jpeg, gif, svg, doc, docx, ppt, pptx, xls, xlsx, txt, csv, zip, rar, Max. file size: 512 MB.

Contact

What can we help you with?

Name

This field is for validation purposes and should be left unchanged.

Name(Required)

First name Surname

Email address(Required)

Phone number(Required)

What is your inquiry about?(Required)

Private insurance

Business insurance

Claims

Pension / Life

Mortgage

Other

Message(Required)

You may be looking for information about the Externe Verwijzingsregister (External Referral Register).

However, at our company, EVR stands for Eijgendaal & Van Romondt, not for the External Referral Register. To learn more about this topic, please visit the CIS foundation website.

Would you like to update your details?

Please complete our change request form. This ensures your request reaches the right department straight away, allowing us to process it more quickly.

Would you like to file a claim?

Go straight to our claims overview. There, you can submit your claim with as much detail as possible, allowing us to process it quickly.

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