Which form of reimbursement do you wish to claim?
Please tick where applicable.

24-hour card for one person for fare zone 210
24-hour card for one person for fare zone 233
Credit for a 24-hour card for one person paid into my account (HAVAG subscribers)

To send you your ticket we need a few details from you. To credit your account we need a few details from you.
Please complete with care.

Last name^*

First name^*

Last name (Please leave empty)

Phone prefix (Please leave empty)

Email^**

Phone^**

Chip card number The chip card number is on the back of your ABO customer card. (HAVAG subscriber)^*

6 . 0 5 3 - . . -

Please take a little time to provide us with further information concerning your case.

Brief description of the facts^*

Document URL
(Please leave empty)

Data protection^*

I agree to the Data Protection Rules.

Guarantee Terms^*

I hereby confirm that I have read and accept the Guarantee Terms.

Note: Clicking on the button „To overview“ will not yet cause your application to be submitted. You will first be directed to an overview page where you can check the information you have entered. After you have checked your entries you can submit the form.

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