Professional questions

Who is this form intended for?

This form should be filled in if you have a professional question about a KBC file you’re involved in or if you have a question about a KBC customer you represent.

We'll be happy to assist you

If you fill in this form correctly and completely, we’ll make sure that your question goes to the right person and you receive a prompt reply.

We will only use your details to verify your identity and ensure your file is processed correctly. The data requested will be used for this file only and not for any other purpose.

1Your details

Name of your business

Contact person

Postcode

Town/City

E-mail address

Telephone number You can enter your phone number if you wish.

2Your customer's details

First Name

Last Name

Postcode

Town/City

Date of birth

Claim file number If you are able to, please update this information to help us process your file more quickly.

Policy No. 1

Policy No. 2

Policy No. 3

Policy No. 4

Policy No. 5

Policy No. 6

3Your question

My question is Do not enter any personal details in this field.

Attachment

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If you want to provide additional information or documents, attach them here (not compulsory).

KBC aims to process your personal data in a manner that is lawful, appropriate and transparent. Further details about how we process and share your personal data are set out in our privacy statement.It explains your rights and how you can exercise them. Our privacy statement is available at www.kbc.be/en/privacy, at your branch or from your intermediary and is regularly revised.