Ask for a quote - Car Form "*" indicates required fields 1Main driver2The Car3Insurance and Claim history4Cover choice5Options STEP 1 - The main driverFirst name* Last name* Email* Phone* Date of birth* DD slash MM slash YYYY Date of driving licence* DD slash MM slash YYYY Occupation* Family status* STEP 2 - The CarManufacturer / Model / Version* Date of manufacture (B)* DD slash MM slash YYYY Date of purchase* DD slash MM slash YYYY Owner (C4a)* Horse power (P.6)* Plates number (A)* Energy* Diesel Hybrid Petrol Electric Financing method* Cash / credit Lease ( LLD / LOA ) Usual park address in France* Use* Private Mix Private / Professionnal Professional Garage* Locked box Gated garden Opened garden Street Maxi kilometrage / year* 5 000 km 9 000 km 12 000 km 15 000 km 20 000 km ( pro only ) Unlimited STEP 3 - Insurance and claim historyYears of insurance at your name* French no claim bonus* Years with bonus 050* Number of claims over the last 24 monthsAt faultWithout faultGlass breakageFireTheft / vandalismParking accidentOriginal date of inception of the current policy* MM slash DD slash YYYY Over 1 year, the policy can be cancelled anytime ...Insurance Company* STEP 4 - Cover choiceYour choice* F10 F11 F16 F17 STEP 5 - OptionsChoose your options No option Purchase value 4 years Collection registration Personal belongings €300 Labour for mechanical-electronic breakdown Long recovery car ( accident 21 days - breakdown 8 days - theft 40 days ) STEP 6 - CookiesDo you accept Cookies ? I accept cookies I refuse cookies Provence-insurance uses cookies like everyone else ! Like all sites measuring their audience, we use cookies to offer you a functional and interactive site, and thus offer you personalized and targeted navigation. And all of this is partly thanks to you! Operational cookies They are activated by default because they are essential for the proper functioning of the site. Audience measurement cookies They allow a statistical analysis of visitors' interactions with the site. Social network cookies They concern social network buttons and are likely to collect data. CAPTCHA
