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Personal data
Title *
Mr
Mrs
Diverse
First name *
Last name *
Street address *
House no. *
Postcode *
City *
Additional information
Email *
Request
Do you have a question to an existing request? *
Yes
Please enter your reference number
*
No
Address of the object
Is the address of the object different from your personal address? *
Yes
Street address *
House no. *
Postcode *
City *
Additional information
No
Request
Reason for contact? *
Please select
Application for SSM / compensation
Questions about the process / procedure
Request for the location of a property within the claim areas
Level inquiries
Miscellaneous
Your concern *
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