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Mortgage life insurance questionnaire

Your mortgage insurance study, in five minutes.

Answer what applies to you: only your contact details are required. No medical questions: if the insurer has any, it asks you itself, in confidence.

Fill it in online (5 min) Download the PDF
Mortgage life 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 loan
The loan2 / 6

The loan to insure, or whose insurance you want to switch.

Why? The amount, term and type of loan set the cost of the insurance.

Type of request
Purpose of the loan
Property in France
€
years
%
€
€ / month
Current insurance
3. The borrowers
The borrowers3 / 6

You, and the co-borrower if any.

Why? The cover split between borrowers is your choice, and it is priced.

Co-borrower
Cover split wanted
4. Your profile
Your profile4 / 6

Pricing criteria, health aside.

Why? Smoking, job and hobbies decide loadings and exclusions: better to know them upfront.

Smoker (last 12 months)
Co-borrower smokes
Type of work
Over 20,000 km a year for work
Working at height or carrying heavy loads
Sports
5. Your needs
Your needs5 / 6

Why? The bank sets minimum cover: we meet it, without paying for extras.

Cover wanted
Options
Start date wanted
€ / month
6. Documents to attach
Documents to attach6 / 6

Photos or scans are fine.

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

No medical information is requested here. The health questionnaire, if required, is sent to you directly by the insurer and stays confidential. Since the Lemoine law, there is none for a home loan whose insured share is under €200,000 and which ends before you turn 60.

See mortgage life insurance

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