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Home insurance questionnaire

Your home insurance study, in five minutes.

Answer what applies to you: only your contact details are required. The more precise you are, the more accurate our proposal. Documents can reach us later.

Fill it in online (5 min) Download the PDF
Home insurance questionnaire, ASSUDIRE
6 stepsabout 5 minutes
Step 1 of 6 · Youabout 5 min left

* Only your contact details are required

1. You
You1 / 6

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. The property
The property2 / 6

The property to insure.

Why? The type, size and occupancy of the home set the risk, hence the premium.

Type
Residence
You are
Property located in France
m²
Floor (flats)
m²
Conservatory
Swimming pool
Solar panels
Fireplace or stove
Security
3. Your contents
Your contents3 / 6

Why? The declared sum sets what you will be paid back: undervalue it, and the payout will be too.

€
€
Specific items
4. Your insurance history
Your insurance history4 / 6

Your claims record (relevé d'informations) will confirm these details; without it, we prepare a first estimate.

Why? Your history decides which insurers can accept you, and the price.

Currently insured
€ / year
Claims in the last 36 months on this property (including non-fault)
DateType (water damage, theft, fire…)Amount paid (€)
Cancelled by an insurer in the last 36 months
5. Your needs
Your needs5 / 6

Why? So we compare like with like and you never pay for cover you do not need.

Cover wanted
Level of cover
Excess
Payment
Start date wanted
€ / year
6. Documents to attach
Documents to attach6 / 6

Photos or scans are fine.

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

Your current insurer issues the claims record on request. Without it we prepare a first estimate; the final premium depends on it.

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