Application for home and contents insurance

Request a quote for your home and contents insurance right away

To request a quote for a home and contents insurance, we kindly ask you to fill in the form below as accurately as possible. You can always contact us if you have any questions.

Nationality*

Salutation*

Name as in passport*

First name (s)

Last name

Telephone number

Mail where you can be reached.*

Passport number / NIE number*

Date of birth*

Day

Month

Year

data of property to insure

Address*

Postal Code*

Town / Village*

Bought or rental home?*

Use of the Home*

Type of home*

Location of the house*

Construction year

Year of renovation (if applicable)

Built m2 house*

Built m2 of terraces, garages, etc.*

Number of rooms (lounge, kitchen, etc. included)

Security windows

Security doors

Safety doors (3 point lock)

Wooden doors or closed doors (3 point lock)

Different

Alarm affiliated with a security company?

Is there a safe?

Building amount to be insured in €*

Contents to be insured in €*

Desired start date?

Additional questions or comments:

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Number of rooms (lounge, kitchen, etc. included)(1)