AssurantieTool

Information

Year

Make

Model

Type

Fuel

Transmission

Catalog value

Birthdate

Accident free years

No-claim

0%

Other

Right hand drive

Extras

WA higher than 150.000

Additional Coverage

Passengers Accident Insurance(P.A.I.)

None

Combination I

Combination II

Other coverages

Trailer

Sistercar

Uninsured

No-claim protector

Calculate

Cover

Year Half Year

TPL

Awg.

No Casco coverage

Awg.

Fire Explosion Theft

Awg.

Comprehensive

Awg.

New Car Replacement

Awg.

Additional

Combination I

Awg.

Combination II

Awg.

Trailer

Awg.

Sistercar

Awg.

Uninsured

Awg.

Uninsured

Awg.

No-claim protector

Awg.

Premium

Your premium:

Policy costs:

Total premium:

Awg.

Awg.

Awg.

26,8800

26,8800

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Temporary Insurance Card

Effective date

Name

Address

Email

Phone

Regular driver

Make, model

License plate

Chassisnumber

Year

Inspection date

New or modified

Policy number

Beneficiary

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