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Home Insurance Form

Home is where the heart is!

A policy designed around your needs whether the property in France is your main residency or holiday home. Home insurance covers both buildings and contents in the same package. Plus public liability cover!

Please complete our form below for your free quotation:

How did you hear about us?  
 POLICY HOLDER DETAILS
Full Name*:
 
Address of Property (to be insured):
 
Date of Birth:  
Your Occupation:  
Email Address:
 
Telephone:
Country code:
Number:
 
Owner or Tenant?  
If tenant, is the property rented out furnished?  
Main Residence?  
Are you already insured in France? If so, with which company and for how many years?  
Have you had any claims in the past 3 years? (Type, responsibility, was a third party involved?)  
Has your insurance been cancelled by the insurance company in the past 36 months?  
When does your insurance need to start?  
When was the property built?  
Type of habitation  (house, flat, mobile home, caravan, chalet)  
     
 HOUSE DETAILS
Do you have a swimming-pool?  
Do you have Solar panels, a heat pump or a Windmill?  
Do you have an alarm system installed?  
Please list all rooms and sizes
Rooms less than 9m² are not counted
 
What are the measurements of the outbuildings?
(barns, garage … not connected to the main building)
 
Value of Contents (without valuables):  Euros  
Value of Valuables:
(jewelry, gems, natural pearls and solid precious metal objects each with a value above 300€)
 Euros  
     
 EXTRA OPTIONS
Excess for damages, glass breakage €0  
Excess for damages, glass breakage €140  
Excess for damages, glass breakage €280  
New for Old  
Gite/chambres d'hôtes  
Outdoor facilities  
     
Do you need school insurance?  
Are you interested in the legal assistance cover?  
     
 
     
 
 
 
   
     
 
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Tel: +33 (0)2 43 13 40 16

EMail: contact@exclusive-healthcare.com

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