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Get Telefon - Importex.no

Nr. og Sted JA NEI e-post: Bilens reg.nr: Personbil KM-stand skadedato: Varebil Bilfabrikat, type og modell: Lastebil Buss Annen type Skade rsak: Skade dato: Skadested: (Kommune/vei/sted) Er det ved bilkontroll f r skaden inntraff gitt p bud om utskifting av ruten(e)? Er den skadde ruten en: Frontrute Siderute Bakrute JA NEI Annen Egenandel i f lge vilk r: Foreligger kasko eller bilglassforsikring ihenhold til forsikringsvilk rene bruddskade p bilrute ved st.

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