Breakdown assistance for the deaf and hearing-impaired

Contact data

Form of address

First name *

Last name *

E-mail *

Re-enter e-mail *

Preferred language *

Owner data

Company/Organization *

Street and number *

Postcode *

Location *

Vehicle data

Vehicle identification number *

Licence plate number *

Location of breakdown *

Information about the damage

Damage description *

Information on ServiceCard

Card number

Validity date

Additional information

I hereby agree that the Daimler Buses UK Ltd saves and uses my personal data exclusively to answer my enquiry *

* Fields marked with an asterisk are mandatory.