AssurantieTool

Information

Year

Make

Model

Type

Fuel

Transmission

Catalog value

Birthdate

Accident free years

No-claim

0%

Extras

WA higher than 150.000

Additional Coverage

Passengers Accident Insurance(P.A.I.)

None

PAI package 1

PAI package 2

PAI package 3

PAI package 1 and medical coverage

PAI package 2 and medical coverage

PAI package 3 and medical coverage

Other coverages

Trailer

No-claim protector

Calculate

Cover

Year Half Year

WA-Essential

Naf.

WA-Extra

Naf.

WA-Comfort

Naf.

WA-Complete

Naf.

WA-Casco-Essential

Naf.

WA-Casco-Extra

Naf.

WA-Casco-Exclusive

Naf.

Additional

PAI package 1

Naf.

PAI package 2

Naf.

PAI package 3

Naf.

PAI package 1 and medical coverage

Naf.

PAI package 2 and medical coverage

Naf.

PAI package 3 and medical coverage

Naf.

Trailer

Naf.

No-claim protector

Naf.

Premium

Your premium:

Policy costs:

Total premium:

Naf.

Naf.

Naf.

53,80

53,80

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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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