Personal Liability Insurance Personal Information

Questionnaire

Personal information

Insurance details & payment

Summary

Your Personal Liability Insurance

Insurance provider: Adcuri

Plan

Sum insured

Best benefit guarantee

Tariff option

per month

Personal Information

First Name: Last Name:

Birthdate:

Do you have a German address?

Yes

If you do not currently have a German address, we can temporarily use our companies c/o address.
In this case, please inform us of your German address as soon as it is available.
Your insurance will still be active from your desired insurance start date onwards.

Gender:

Email Address:

Did you have a liability insurance policy in Germany in the last three years?

Yes

Please fill in all required fields.