Vehicle insurance

The fields with asterix (*) are obligatory.

Policyholder's name as in NIE*

NIE-number*

Address in Spain*

Postal code and city*

Date of birth (in format DD/MM/YYYY)*

Citizenship*

Date of issue of 1. driving license (in format DD/MM/YYYY)*

Telephone number*

E-mail*

Details of the vehicle (make, model, e.g. Skoda Rapid Spaceback 1,2 TSI Ambiente DSG)*

Fuel*

—Valitse vaihtoehto—GasolineDieselOther

Number of doors*

Year of manufacture and date of first registration*

Engine horsepower

Plate number*

Number of seats?*

Your current insurance company?*

Bonuses in Spain / home country*

Required insurance coverage

—Valitse vaihtoehto—Third partyThird party,- fire- and theftComprehensive

Kilometers/year and Number of claims under the last 5 years*

Vehicle owner's name, address and NIE number, if different than the policyholder

Bank account number (IBAN) for direct debits

Please note! Our insurance include car windows, 24h road assistance, replacement car and accident insurance for passengers and optionally for the driver.

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