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Write us: Other claim
Fill out the form below if you wish to file an objection.
First name
*
Last name
*
E-mail*
*
Customer number*
*
Number plate country
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Number plate
*
Enter the number plate of the car you used for the trip.
Weight of the box/app
*
Technically permissible total weight
CO2 class of the box/app
*
Product ID on Box/App that has been charged incorrectly
*
Product ID on Toll Box/App is respectively 16 digits and 12 digits.
Date for charge
*
Here you select the date and time of day for the charge. If you do not know the exact time, please specify an approximate time.
Message
*
Tilføj gerne yderligere oplysninger, som er relevante for din sag. Beskriv gerne så fyldestgørende som muligt.
Attach file
Upload documentation for double billing
Captcha
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