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Notice for the insured event

To make the claims process faster, fill in the form as accurately as possible

What happened?

Describe the event

What happened and how? Which part of the body has been injured?
What happened and how?
Cause of death
What happened and how?
Add the name of the doctor who is aware of the insured person's health in relation to the accident. Add the name of the medical institution where first aid was provided.
Add the name of the doctor who is aware of the insured person's health in relation to the accident. Add the name of the medical institution where first aid was provided.
Has there been a need for hospital treatment for more than one day?

Insured person's information

Applicant's information

Applicant is

Requisites for reimbursement

Beneficiary
Beneficiary

 

1. I agree that the present request submitted on internet will have the same legal force as a written document.

2. With submitting this claim, I consent to forwarding my personal and health data to the insurer SEB Life and Pension Baltic SE Lithuanian branch, who is the controller of this data.

3. I have acknowledged my data is used with the purpose to: 

  • find out more details about the claim from the State Authorities, and other health care institutions,
  • obtain data about other valid life insurance agreements with other insurers,
  • obtain data related to the insured event from law enforcement authorities,
  • fulfil insurer obligations with its reinsurer, 
  • fulfil insurer‘s obligations provided in Insurance law. 

4. I have access to information about personal data processing and my rights, in SEB Privacy Policy, available at seb.lt

5. I confirm the information I submit is accurate and complete.

If the insured person becomes involuntarily unemployed

If you don't have access to the SEB internet bank, you can report the insured event at any SEB branch office. To do that, sign up for a meeting, visit the branch, fill in the event notice form and submit the needed documents.

Sign up for a meeting

Fill in the notice form online

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