Address of the object to be insured

Address of the establishment

POSTCODE

Location

Details of the object

Type of business

Annual turnover (€)

Area in sqm

Year of manufacture

number of employees

Location

Object

Capital to be insured

Building value (€)

Inventory value (€)

Value of goods (€)

Liability insurance

Object protection

Other security measures:

Auxiliary fuse:

Alarm system connected to control panel.

Fire extinguisher

Smoke detector

Automatic sprinkler systems

Extinguishing water connections

Scope of coverage

Basic coverage: fire, explosion, flood, rain, storm, hail, earthquake, ...

Additional coverages:

Burglary-Theft
Yes No

Glass breakage
Yes No

Damage to computer equipment
Yes No

Sum insured (€)

Chilled goods
Yes No

Sum insured (€)

Business interruption
Yes No

Insurance type

Sum insured (€)

Indemnity period (months)
3 6 9

Notes

Attachment (.pdf, .png, .gif, .jpg, max. 10MB)

Desired start of insurance

Personal data

First name and surname*

NIE or CIF

Nationality

Phone*

Email*

Address

POSTCODE

Location

Are you already a customer with us?
Yes No

How did you hear about us?

Google

Facebook

Other website

Newspaper

Yes, I have read and accepted the terms and conditions.*

*Pflichtfelder

Request quote

Address of the object to be insured

Details of the object

Capital to be insured

Object protection

Scope of coverage

Desired start of insurance

Personal data

How did you hear about us?