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Write us: Other claim

Fill out the form below if you wish to file an objection.

Your information

First name*

Last name*

E-mail*

Customer number*

Fill in the following information:

Number plate country*

Number plate*

Enter the license plate number 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 that was incorrectly charged*

The Product ID for the Toll Box/App is respectively 16 digits and 12 digits.

Date of the trip*

Here you select the date and time of day for the trip. If you do not know the exact time, please indicate an approximate time.

Besked*

Tilføj gerne yderligere oplysninger, som er relevante for din sag. Beskriv gerne så fyldestgørende som muligt.

Vedhæft fil

Det er vigtigt, du uploader alle relevante dokumenter. For udenlandske køretøjer skal registreringsattest og dokumentation for CO2-klasse uploades. (CoC dokument eller Cif-fil)

Language: English