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Cerere-Declaratie de asigurare CASCO - basiromrob

Cerere-Declaratie de asigurare CASCO - basiromrob 2025

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The document is a request/declaration for optional insurance (CASCO) covering damages and theft of vehicles. It includes sections for personal and legal entity information, vehicle details, requested insurance coverage, and necessary documentation. The applicant must provide accurate data as it forms the basis of the insurance contract with ASIROM Vienna Insurance Group S.A.

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Click ‘Get Form’ to open it in the editor.
Begin by filling out the 'ASIGURAT' section. Indicate whether you are a physical or legal person and provide your name, CNP/CUI, and other relevant details such as registration certificate series and number for legal entities.
Complete the 'CONTRACTANT' section if applicable. Similar to the previous step, specify if you are a physical or legal person and provide necessary identification details.
In the 'BENEFICIAR' section, enter the beneficiary's information including name, CNP/CUI, and address details.
Fill in the 'PERIOADA ASIGURATĂ' with the insurance period dates.
Provide vehicle details in the 'AUTOVEHICUL' section including type, registration number, and any additional features.
Select requested insurances under 'ASIGURĂRI SOLICITATE', marking basic risks and optional coverages as needed.
Attach required documents in the 'DOCUMENTE PREZENTATE' section by checking appropriate boxes.
Review all entered information for accuracy before submitting your form.

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