1. With submitting this claim, I consent to forwarding my personal and health data to the insurer SEB Life and Pension Baltic SE, who is the controller of this data.
2. I have acknowledged my data is used with the purpose to:
- find out more details about the claim from the State Authorities, and other health care institutions,
- obtain data related to the insured event from law enforcement authorities
- fulfil insurer obligations with its reinsurer
- fulfil insurer‘s obligations provided in Insurance Contract law.
4. I certify that the data provided are correct and accurate.
We inform you that the information related to the insurance indemnity will be sent electronically by the Insurer to the e-mail indicated in this application. If I have chosen to use unencrypted e-mail for communication, I confirm that I am aware that the chosen e-mail is not a completely secure communication channel.