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Motorbike & scooter insurance questionnaire

Your motorbike or scooter 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
Motorbike & scooter 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 rider
The rider2 / 6

The main rider.

Why? The rider's age, licence and experience weigh the most in the price.

The main driver is
Riding experience
Licence
Licence suspension or cancellation, drink or drug driving (last 5 years)
3. Your insurance history
Your insurance history3 / 6

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

Why? Your bonus-malus and recent claims decide which insurers can accept you.

Currently insured
€ / year
Claims in the last 36 months (including non-fault)
DateType (accident, theft, fall…)Liability (0 / 50 / 100 %)
Cancelled by an insurer in the last 36 months
4. The motorbike or scooter
The motorbike or scooter4 / 6

Why? Engine size, use and where it is parked set the risk, hence the premium.

cm³
Type
€
Purchase
Use
km
Overnight parking
Bike registered in France
Anti-theft device
€
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
Cover and services
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, within two weeks. Without it we prepare a first estimate; the final premium depends on it.

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