Personal Liability Insurance Summary

Summary and Confirmation

Personal information

Insurance details & payment

Summary

Your Personal Liability Insurance

Insurance provider: Adcuri

Plan

Sum insured

Insurance start date

Best benefit guarantee

Tariff option

Personal Information

First Name:

Last Name:

Birthdate:

Email:

City:

Street:

House Number:

Postal Code:

German address:

Not available

Gender:

Liability Claims:

Payment Information

IBAN:

BIC:

Bank Name:

Payment Frequency:

I confirm that I have received and reviewed the insurance conditions, the General information + data protection, the Notice in accordance with §19, paragraph 5 VVG, the Consent to Email contact and the Important notes. By providing the payment details and confirming the payment, you authorise Barmenia (parent company of Adcuri) and its local service provider to collect payments from your account by direct debit. At the same time, you instruct your bank to debit your account accordingly in accordance with these instructions.

Please confirm that you have read the offer documents and agree with their content.

Personal Information

Payment Information

Different Account Holder