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Funeral insurance questionnaire

Your funeral plan study, in five minutes.

Answer what applies to you: only your contact details are required. No medical questions; your wishes can be changed at any time.

Fill it in online (5 min) Download the PDF
Funeral insurance questionnaire, ASSUDIRE
5 stepsabout 5 minutes
Step 1 of 5 · Youabout 5 min left

* Only your contact details are required

1. You
You1 / 5

The policyholder.

Why? Your contact details are used to call you back and to draw up the study in your name.

Title
Marital status
Status
2. People to insure
People to insure2 / 5

You, and your spouse if relevant.

Why? Age at signing sets the premium, and sometimes the waiting period.

To insure
Home in France
Existing funeral plan
3. Your wishes
Your wishes3 / 5

What you want to spare your loved ones.

Why? The lump sum must cover what you plan: a funeral costs 4,000 to 6,000 € on average.

Type of policy
€
Funeral
Place of the funeral
4. Your needs
Your needs4 / 5

Why? To compare equivalent plans, and choose the right way to pay.

Cover wanted
Premium payment
Options
Start date wanted
€ / month
5. Documents to attach
Documents to attach5 / 5

Photos or scans are fine.

Why? With these documents, the quote becomes a firm proposal.

No medical information is requested here. If the insurer needs any, it sends you the request directly and it stays confidential.

See funeral insurance (in French)

Reply within 24 working hours · No obligation · You receive a copy of your request

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