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Start your secure case submission

Please provide your basic contact details to initiate your request.

Name & Surname *

Email Address *

Phone *

Street Address

City

State/Province

ZIP / Postal Code

Country *

Reason for request *Funds Frozen/WithheldSuspected Fraud/ScamUnauthorized AccessDispute with InstitutionPreventive Protection

Amount to be Insured: *0€ - 50,000€50,000€ - 250,000€250.000€ - 1,000,000€1,000,000+€

Case Category *Asset Recovery AssuranceCyber InsuranceProfessional LiabilityOther

Investment / Asset Type *Traditional Finance (bank deposits, securities)Digital Assets (crypto, tokens, stablecoins)Both

Are the assets traceable/recoverable? *YesNoNot Sure

Insurance Coverage Type *Partial InsuranceFull InsuranceNot Sure

How did you hear about us?ReferralOnline searchLegal / financial advisorOther

Advisor name, firm, or source

Please specify:

When did the issue start? *< 7 Days7 - 30 Days1 - 3 Months3+ Months

Have you already filed a report? *YesNoNot sure

Which report(s) have you filed?Police ReportBank/Exchange ReportLawyer InvolvedNone Yet

Any ongoing legal proceedings? *YesNoNot sure

Brief details (court, jurisdiction, status – optional)

Do you have supporting documentation?YesNoOther Option

List what you can provideBank StatementsContracts / InvoicesWallet AddressesTransaction IDs / HashesExchange tickets/emailsScreenshots of communications

Upload fileDo not upload private keys / seed phrases / passwords

No file chosen

How urgent is this appointment? *NormalTime-sensitiveUrgent

Other Supporting Evidence

Short Case Summary

Consent & Declaration *I declare that the information provided is accurate to the best of my knowledge, and I understand that this submission does not constitute an insurance contract or guarantee of coverage.

Terms/Privacy consent *Yes, I agree with the Privacy Policy and Terms and Conditions.

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