TEST ORDER
Use this form to instruct the company T-VOS OHG to check the devices listed below:
Customer
Adress
*
*
=Required field
Clerk
*
Phone
*
E-Mail
*
Fax
To be checked case:
Claim-ID
*
Date of loss
Policyholder
*
Claimant
Phone policyholder
*
Phone claimant
Stockist
Inspection location
Phone stockist
Inspected goods
*
Cause of loss
*
Total amount of damages
Internal Note
Checks to be performed
Amount of damage (on site)
Laboratory testing
Plausibility
Manipulation
Replacement cost
Replacement value determination
Time value before test
Thunderstorms validating at
City
Date
The order will be directly sent to us by email by click on "Order placement". You have the option of printing the order for your records after the shipment. With the button "Print" your input is formatted to simply print your input and then to send by fax.