Breakdown assistance for the deaf and hearing-impaired

Contact data

Form of address

First name *

Last name *

E-mail *

Re-enter e-mail *

Desired language *

Owner data

Company/Organization *

Street and number *

Postcode *

Location *

Vehicle data

Vehicle identification number *

Licence plate number *

Location of breakdown *

Informationabout the damage

Damage description *

Information on ServiceCard

Card number

Validity date

Additional information

We ask you to agree to the use of your data. Your data will be used in accordance with our privacy statement. Your consent can be revoked at any time by sending an e-mail to Einwilligung-daimlerbuses@daimlertruck.com or by sending a corresponding message to the address given in the imprint or to the address given in our data privacy statement.

I hereby agree that the Daimler Buses GmbH saves and uses my personal data exclusively to answer my inquiry *

* Fields marked with an asterisk are mandatory.