AutoMate Insurance

{{ $t('policy_holder_last_name') }} *

{{ $t('policy_holder_first_name') }} *

{{ $t('policy_holder_phone_number') }} *

{{ $t('email') }} *

{{ $t('date_of_birth') }} *

{{ $t('description') }} *

{{ $t('event_date') }} *

{{ $t('iban') }} *

{{ $t('account_holder') }} *

{{ $t('address') }} *

{{ $t('postal_code') }} *

{{ $t('country') }} *

{{ $t('damage_amount') }} *

{{ $t('payment_confirmation') }} *

{{ $t('medical_certificate') }} *

	{{ $t('Attached Files') }}
{{ index + 1 }}	{{ '. ' + file_name.substring(37) }}