Fill in the fields, then choose Print (Ctrl+P) to save as PDF or print. Labels show the Norwegian term in brackets for your insurer.
EUROPEAN ACCIDENT STATEMENT (EUROPEISK SKADEMELDINGSSKJEMA)
European standard form accepted by all Norwegian and European insurers
Important: Fill in and sign at the scene – both parties complete the form together. Send it to your insurer as soon as possible, ideally within 24 hours.
1. Accident (Ulykke)
VEHICLE A (BIL A)
2. Policyholder (Forsikringstaker)
3. Vehicle (Kjøretøy)
4. Insurance (Forsikring)
5. Driver (Sjåfør)
6. Damage to vehicle A (Skade på bil A)
7. Circumstances – tick (Omstendigheter)
VEHICLE B (BIL B)
2. Policyholder (Forsikringstaker)
3. Vehicle (Kjøretøy)
4. Insurance (Forsikring)
5. Driver (Sjåfør)
6. Damage to vehicle B (Skade på bil B)
7. Circumstances – tick (Omstendigheter)
8. Sketch of the accident (Skisse) – show vehicle positions, roads, direction of travel, traffic lights, street names
[Draw the sketch here – print and draw by hand]
9. Your comments (Kommentarer) – briefly describe what happened
10. Signatures (Underskrift) – signing is not an admission of liability, it confirms the information is correct
Signature vehicle A (Underskrift)
Date (Dato): ___________
Signature vehicle B (Underskrift)
Date (Dato): ___________
skade.skjema.online · European standard form · Accepted by all Norwegian insurers · Free, no signup