Monese Claim form

Hello, welcome to your Monese claim form
Welcome to your Monese claim. We're sorry to hear that an incident happened. Our team is committed to providing the best insurance experience. Please read carefully the details presented in this form so we can process your claims in the best possible way.
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First Name*
First Name DUPLICATE*
Last name*
Last name DUPLICATE*
full name hidden*
subType*
Email*
Please use the email address linked to your Monese account
Email DUPLICATE*
Please use the email address linked to your Monese account
Date of birth*

DayMonthYear
Phone number*
Please use the phone number linked to your Monese account
Phone number DUPLICATE*
Please use the phone number linked to your Monese account
Monese ID*
Monese account number*
Account type*
ref_country*
ref_country DUPLICATE*
submission date

DayMonthYear
Date
What would you like to claim for?*

billspurchase
What would you would like to report?*

TheftDamagesUnauthorised paymentDelivery issue
Unfortunately, Essential account holders are not covered by purchase protection insurance. If you wish to be insured for theft and damage you can subscribe to a classic or premium account.
What is your reason for starting a claim?*
If you have been the victim of an unauthorized payment, it is not covered by this insurance. Instead, let us know at https://support.monese.com.

By unauthorized payment, we mean an unwanted transaction or money transfer from your Monese account. This information is mentioned in our Terms and Conditions, which you can find here. Please don’t hesitate to get back in touch if you have any questions.
If you've experienced a delivery issue, unfortunately it's not covered by this insurance. Please contact your seller or distributor.

By delivery issue, we mean claims related to an item that you haven't yet taken possession of.

This benefit applies to Eligible Items delivered in full. This information is mentioned in our Terms and Conditions, which you can find here. If you have any questions, don't hesitate to get back in touch.
Please share a valid IBAN where we will refund your claim*
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entity_type*
claim_language*
Insurer*

Please read the details below.

Verify that your claim is eligible before filling the claim form.
Items purchased more than 90 days ago are not eligible for theft or damage protection.

Items must have been paid in full with your Monese account.
Items purchased more than 180 days ago are not eligible for theft or damage.

Items must have been paid in full with your Monese account.
Damage & theft protection

Items listed below are not covered by this insurance policy:

vehicles (bike, cars, motorcycles etc ...)

mobile app

jewelry

foods and beverages

antiques

transportation tickets (plane, train, etc.)

software
This insurance policy does not cover any individual item that costs less than £50.
I acknowledge a £50 deductible will apply to my claim.

Claim Details
You will need the following documents:
Invoice or receipt for the item

We require the invoice relating to the transaction you want to claim for. This must include the description of the item and the amount paid.

Police report

We require a report from the police detailing the theft and stating which items have been stolen.
Invoice or receipt for the item

We require the invoice relating to the transaction you want to claim for. This must include the description of the item and the amount paid.

Pictures of damaged item

We require picture(s) showing to what extent this item has been damaged.

Repair-invoice if the item has already been repaired

We require the invoice for any repairs.

Quote or formal statement from a repair shop if the item still needs to be repaired or is unrepairable
- In case your item is repairable, we require a quote from any repair shop
- In case your item cannot be repaired, we require a formal statement that the item cannot be repaired from any repair shop.
Bills for the last 6 months

We require a copy of all the invoices for the bills for which you want to make a claim. These need to be the official invoice from the supplier up to the last 6 months. They also need to show the amount paid.

Proof of payment from your Monese account

To be eligible, you need to have paid the bills using your Monese account. We require the screenshots or statement that show the bills were paid from your Monese account.
Proof of sickness

A medical certificate or copy of doctor's letter confirming your temporary total disability due to sickness
Proof of accident

We require a copy of a doctor's letter restricting you from working and confirming your total work incapacity due to an accident
Proof of job loss

A copy from your employer showing the date and reason of your job loss
Hospital certificate

A copy from the hospital mentioning your name as patient, the date of admission and release

Details about the incident
When did this happen?*

DayMonthYear
Please select the date when the incident happened
What was the date of admission to the hospital?*

DayMonthYear
Please select the date when you got admitted to the hospital
What was the date of release from the hospital?*

DayMonthYear
Please select the date when you got released from the hospital
Unfortunately, we are unable to process claims for incidents occurring on or after October 5th, as the program has now ended.

For any questions, please contact Monese customer service for further assistance.
What was your employment at that time?*
Upload the proof of hospitalisation : a copy from the hospital mentioning you as patient, the date of admission and release*

Cancelof
Upload the proof of your job loss : a copy from your employer showing the date and reason of your job loss*

Cancelof
Upload the proof of your sickness : a medical certificate or copy of doctor's letter confirming your temporary total disability due to sickness.*

Cancelof
Upload the proof of your accident : we require a copy of a doctor's letter restricting you from working and confirming your total work incapacity.*

Cancelof

The item
Date of purchase*

DayMonthYear
Please select the transaction date
Did you purchase the item online?*
Please provide the name and address of the retailer*
Name, address
What is the currency ? *
Currency list*
Currency*
Total amount (including VAT)?*
Purchase invoice for the item : must include the description, amount paid and retailer details such as its name and address (if applicable)*

Cancelof
Please note that you will not be covered in respect of the first £50 (or equivalent in the currency of the transaction) of any claim.

The incident - Theft
When did the theft occur?*

DayMonthYear
Date
Unfortunately, we are unable to process claims for incidents occurring on or after October 5th, as the program has now ended.

For any questions, please contact Monese customer service for further assistance.
THEFT coverage period calculation
Unfortunately your claim is not eligible if the theft took place more than 90 days after the date of purchase.

This information is mentioned in our Terms and Conditions, which you can find here. If you have any questions, don't hesitate to get back in touch.
Unfortunately your claim is not eligible if the theft took place more than 180 days after the date of purchase.

This information is mentioned in our Terms and Conditions, which you can find here. If you have any questions, don't hesitate to get back in touch.
Please describe what happened?*
Please upload a copy or picture of the police report: if the attached document is not an official police report, we will not be able to process your claim*

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Please provide a description of the item that was stolen*

The incident - Damage
When was the item damaged?*

DayMonthYear
Unfortunately, we are unable to process claims for incidents occurring on or after October 5th, as the program has now ended.

For any questions, please contact Monese customer service for further assistance.
DAMAGE coverage period calculation
Unfortunately your claim is not eligible if the damage took place more than 90 days after the date of purchase.

This information is mentioned in our Terms and Conditions, which you can find here. If you have any questions, don't hesitate to get back in touch.
Unfortunately your claim is not eligible if the damage took place more than 180 days after the date of purchase.

This information is mentioned in our Terms and Conditions, which you can find here. If you have any questions, don't hesitate to get back in touch.
Please describe what happened?*
Please upload picture(s) of the damaged items*

Cancelof
Please provide a description of the item that was damaged*
Is the damage irreparable?*
Please upload a written statement from a repair shop: we require proof that the item is considered a total loss (or write-off), it can be a repair quote for a higher amount than the original value of the item or a written statement from a repair shop*

Cancelof
Please upload a scan or picture of the repair invoice/quote : the amount of the repairs must be clearly visible*

Cancelof
- Please note that if your item is in a total loss, you may be requested to ship the item to Qover's head office in Belgium.
- Items below £50 are not covered.

Data Protection, Fraud Prevention and Detection
We (Qover, Monese and Chubb) carefully assess your claim, and also take steps, in common with standard industry practice, to monitor for fraudulent claims.
For these reasons, we may need to use information about your health which is relevant to your claim, and, where relevant, the health of other persons relevant to the claim which you provide to us.
You must ensure that any other persons whose information you provide to us understand and do not object to this use of their data, and (where required under applicable law) consent to us using their information for the purposes described in our privacy policies.

Regarding the processing of your data (including sensitive data) and regarding the information of third parties you provide us, you can find our privacy policies here:

- Monese privacy policy
- Qover privacy policy
- Chubb privacy policy

We will not use this health information for any other purpose, and will comply at all times with the terms (including security standards) referred in our Privacy Policy.
You do not have to provide us with the following consent, and you may withdraw it at any time, but if you do not provide it, or choose to later withdraw it, that may affect our ability to process your claim.
I agree with the Privacy Terms
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Hello, welcome to your Monese claim form

Please read the details below.

Damage & theft protection

Claim Details

You will need the following documents:

Details about the incident

Your bills

The item

The incident - Theft

The incident - Damage

Data Protection, Fraud Prevention and Detection