Home Insurance
Home Insurance Quote Form
Surname
First Names
Date of Birth
Correspondence address
Contact telephone number
Country of fiscal residency
Address of the property to insure
Type of property: apartment, house… ?
Year of construction
Description of the property (please detail rooms, outbuildings, chimneys, land etc)
Do you own the property ?
IF THE PERSON IS THE OWNER Please indicate the property usage: • Main residence (ie you will live full time in the property) • Holiday home. Please state the frequence of your visits to the property (monthly, quarterly, yearly etc) • Holiday rental: please state the % that you will occupy the property and % holidaymakers will occupy the property • Full time rental (ie you will sign a tenancy agreement to let the property)
Main residence: You will live full time in the property
Holiday home: Please state the frequence of your visits to the property (monthly, quarterly, yearly etc)
Holiday rental: please state the % that you will occupy the property and % holidaymakers will occupy the property
Full time rental (ie you will sign a tenancy agreement to let the property)
Date you want the insurance to begin
Number of floors (or floor number if apartment)
Please describe the different rooms in the property and their approx size in m2 (ie kitchen 12m2, bathroom 4m2 etc)
Total habitable surface (m2)
Size of garden (m2)
If applicable, size of conservatory/veranda (m2)
Type of doors (number of points of the lock / number of locks)
Does the property benefit from any specific protections (window bars, shutters, video alarm, volumetrical alarm?…) PLEASE STATE:
outbuildings (m2) : please specify the type of outbuildings and sizes
Garage (m2) / Car port (m2)
Cellar (m2)
Swimming pool ?
Amounts to insure (€):