Service form

Does your DeliverEbike require service or maintenance? Did you have an accident or has something been stolen?

Through this form, you can apply for the following:

  • Service: when a part of the DeliverEbike is broken
  • Maintenance: a check by our mechanics to determine the DeliverEbikes’ condition

And you need to report it when:

  • You have damage: you’ve had a (traffic)accident causing the DeliverEbike to be damaged
  • The DeliverEbike has been stolen
  • You applied for a new set of keys through the AXA key service

Important notice: the form only allows one frame-number per form. Do you have multiple DeliverEbikes which require service or maintenance? Send the form per delivery bike individually. Read the service -and maintenance conditions beforehand. Failure to adhere to the conditions may lead to unnecessary expenses. 

  • Step 1
  • Step 2
  • Step 3

Contact details

Company name

Contact person (first -and surname)

Company address

ZIP-code

City

Email address

Phone number (preferably your mobile number)

Framenumber

(EBXXXXX or the bike-number if the frame-number is unknown)

Select the issue (multiple answers possible)

Front:

Middle:

Rear:

Boxes:

Other

Fill in if you want to apply for maintenance, report theft, report an accident, if you requested a new set of keys or when your issue isn't mentioned above. Describe the issue as detailed as possible.

Upload

Upload photo(s) of damaged box(es) or European Accident Statement form

Opening hours/ presence

Days:

From:

Till:

Which time of day do you prefer us to come by? Note: this is a preference, it’s no certainty that we’ll come by at this hour.

Acceptance

Key service

You can request spare keys for your AXA lock safe and quickly through the AXA Key Service. Report to us when you’ve requested the keys through our service form. Do you fail to do so? Then you aren’t insured against theft of your DeliverEbike.

Did you lose the keys or have they been stolen? Fill in the service form to order a new AXA lock.

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