Apply for credit insurance

Fill in the form below and apply for credit insurance:

Complete the below application form to apply for credit insurance. We will get back to you as soon as possible.

General information:

Company name: *
Address: *
CVR no.: *

Contact person: *
E-mail:*
Telephone:*

Short description of the company's business area, including industry code (NACE):

Normal payment terms:

Used today?

Credit insurance:

Factoring:

YesNo

If yes, which company?:

Economic information:

Information on turnover, ex. VAT:

2022

Total

Domestic

Export

To affiliated companies

2021

Total

Domestic

Export

To affiliated companies

2020

Total

Domestic

Export

To affiliated companies

Amounts are given in currency:

ThousandsMillions

Wanted currency for the agreement:

The 5 biggest exporting countries and turnover:

1.

Country

Turnover

2.

Country

Turnover

3.

Country

Turnover

4.

Country

Turnover

5.

Country

Turnover

Short description of the dunning procedure:

Loss on debtors:

2021

Total

Domestic

Export

Largest single loss

2020

Total

Domestic

Export

Largest single loss

2019

Total

Domestic

Export

Largest single loss

5 largest debit losses in the last 3 years:

1.

Country

Debtor

Amount

2.

Country

Debtor

Amount

3.

Country

Debtor

Amount

4.

Country

Debtor

Amount

5.

Country

Debtor

Amount

Expected losses:

Number of and details about ongoing collection cases etc.:

Name and maximum outstanding of the largest debtor: