CPR-number

Reference number

First name *

Last name *

Telephone *

E-mail *

I would like to request the pay-out to a foreign account

Reg.number *

Account number *

Bank *

Name of account holder *

If you enter an account number and a registration number that belong to someone other than yourself (a third party), the compensation amount will be paid into that account. If your compensation claim is paid into the account of a third party in accordance with your explicit instructions, the payment is considered to be made in full discharge of your claim, which means that we will no longer have a payment obligation towards you in relation to the claim.

We collect and process personal data so that we can identify you and assess whether you can obtain compensation from Danske Bank and make a payment to you. You can find out more about how we process personal data below.

You must idenfity yourself by uploading a photo of your passport or driver's licence and your health insurance card or another Danish ID without a photo.

Browse or Drag and Drop your files Total file size max. 30 MB.File types: Word, Excel, PDF, TXT, JPG and PNG.

Uploaded files

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Please fill out the form so that the company can receive a payment from us.