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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)

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 rider

The main rider.

The main driver is
Riding experience
Licence
Licence suspension or cancellation, drink or drug driving (last 5 years)
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 (including non-fault)
DateType (accident, theft, fall…)Liability (0 / 50 / 100 %)
Cancelled by an insurer in the last 36 months
4The motorbike or scooter
cm³
Type
€
Purchase
Use
km
Overnight parking
Bike registered in France
Anti-theft device
€
5Your needs
Cover wanted
Cover and services
Excess
Payment
Start date wanted
€ / year
6Documents to attach

Photos or scans are fine.

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.

See car & motorbike insurance

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

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