1 2 3 4 5 Details of the Home

Type: Select type Apartment/flat Apartment/flat - Attic floor Apartment/flat - Ground floor Terraced house Detached house Year of construction: Year of renovation: Surface: m2 Surface of the ground: m2 Construction Material: Select the type of material Fireproof materials such as stone, brick, cement, concrete, iron. Fireproof materials with wooden beams Wood or other combustibles. Use: Choose Owner Main Residence Owner Second Home Owner Rented Home Owner Unoccupied Home Tenant Main Residence Tenant Second Home Maximum duration in which the property is uninhabited: Choose Weekend house Up to 31 days in succession Between 30 and 180 days a year More than 180 days a year Next

1 2 3 4 5 Housing Protections

Doors: Select Doors and door frames armoured with 3 or more locking points. Armoured doors with security lock. Solid wood or metal doors with simple lock. Not solid wood, glass and similars Windows and Balcons: Select Bars or Burglar glass Rolling shutters with pins or outside shutters anchored on the inside. None Alarm: Select Yes, by fixed telephony. Yes, by mobile phone or radio. Yes, but not connected to Alarm Central. No. Start Date: Before Next

1 2 3 4 5 Home Address

Postal Code: Place: Street: Before Next

1 2 3 4 5 Insured Sums

Where do you need coverage for?: Choose option Building Content Building and Content Building: € Contents: € Before Next

1 2 3 4 5 Contact information

Name: Last Name: Email: Telephone: Observations: I acknowledge that I have read and I accept the legal conditions Before Send Data

1 2 3 4 5 Confirmation

Thank you. Your application has been send correctly We will contact you as soon as posible. If you want to request another quote, click here to return to the form.

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