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Mobile-home insurance questionnaire

Your mobile-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.

An adviser gets back to you within 24 working hours with a compared proposal, in English.

Your answers are used for your study only: never sold, never shared without your consent.

No time to fill in everything? Send the essentials, we complete the rest together by phone.

Prefer paper?

The same questionnaire exists as a PDF: fill it in on screen or by hand, then send it back to info@assudire.fr or drop it at the agency.

Download the PDF questionnaire

Or simply book a meeting: we fill it in together.

6 steps · about 5 minutesOnly your contact details are required
1You

The policyholder.

Title
Marital status
Status
2The mobile-home

The mobile-home and its pitch.

Purchase
Mobile-home located in France
Decking and awning
Use
Occupancy
Connections
Security
3Your insurance history

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

Currently insured
€ / year
Claims in the last 36 months on this mobile-home (including non-fault)
DateType (storm, theft, water damage…)Amount paid (€)
Cancelled by an insurer in the last 36 months
4Your needs
Cover wanted
Level of cover
Excess
Payment
Start date wanted
€ / year
5Documents to attach

Photos or scans are fine.

The campsite requires an insurance certificate: we issue it as soon as you subscribe and can send it straight to the campsite.

See mobile-home insurance

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

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