Request for new fuel card

This form is only available for clients of KBC Autolease.

1What is the reason for your application?

My fuel card has been stolen

I've lost my fuel card

My fuel card doesn't work

I've forgotten my code

I did not receive my code/card

2Contact details

Company

First Name

Last Name

Mobile or landline number

Country

E-mail address

Vehicle registration plate

3Card type

KBC Autolease aims to process your personal data in a manner that is lawful, appropriate and transparent. Further details about how we process and share your personal data are set out in our privacy statement. It explains your rights and how you can exercise them. Our privacy statement is available at www.kbclease.lu/privacy, at your branch or from your intermediary and is regularly revised.