Sensibly skillfully insured.

If you choose to purchase a passenger car or van through financial lease, you are responsible for arranging your own car and van insurance. We are happy to help you on your way.

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Is the car in the name of a company (business use) or private?CompanyPrivate

Private

First name

Middle name

Last name

Date of birth *

Address *

City *

ZIP code *

Phone number *

E-mailaddress *

Was the car purchased through a financial lease arrangement? *YesNo

License plate *

Purchase Price *

Demonstrable claim-free years *Your current insurer must let you know annually how many claim-free years you have. The claim-free years are therefore always in your insurance policy that you receive at least annually. You can only use claim-free years for 1 car. After the insurance application is accepted, insurer always checks the claim-free years you have declared. If the actual number differs from what you entered, you will receive a different premium.

Annual mileage *

Insurance coverage *

Desired deductible *

Free choice recovery *

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