Insurance Quote Request

First Name:*
Last Name:*
Date of Birth

DayMonthYear
Date
Contact Number:*
Email:*
NIE
Country of residence*
Occupation*
Do you have a Spanish bank account?*
Your location in Spain
Town*
Postcode*
Province*
Which insurance do you need?

Please choose the types of insurance that you'd like quotes for. Tick whichever you require.
Motor Insurance
Home Insurance
Medical Insurance
Life Insurance
Travel Insurance
Funeral Plan
Business Insurance
Pet Insurance
You must choose at least one type of insurance
Motor Insurance

We can get you a quick quote with the following information. (Please answer all questions)
Are you or your spouse / legal partner the owner of the vehicle?
What type of cover to you require
Is the vehicle for personal use only?
This includes commuting to and from a place of work, but not using the vehicle for work purposes.
If the answer to any of the following is yes, please tick the box.

1. Have you or any driver ever been convicted of any motor or non-motor offence, received any penalty points/fixed penalty notices, or have any pending within the last 5 years?2. Have you or any driver had any accidents, losses or claims during the last three years (regardless of blame) and whether they were reported to the insurer or not?3. Have you or any driver ever been disqualified from driving or had their licence revoked within the last five years?4. Does any person who may drive the vehicle currently suffer from, or suffered from in the past any disability or medical condition whether or not it may impair their ability to drive?
If you have ticked to indicate yes to any of the above, please provide details here.
Vehicle Make
Vehicle Model
Vehicle engine size
Is the vehicle a cabriolet / convertible?
Vehicle Value
Date of registration

DayMonthYear
Date
In which country is the vehicle registered?
If other please detail in the note area at the end
Registration Number (Matricula)
Is the vehicle currently in Spain?
Where is the vehicle kept overnight?
Will the vehicle be taken out of the Iberian Peninsula for more than 90 days?
Will the vehicle be taken outside of the EU at any time?
Will the vehicle be used to tow a trailer or caravan?
Has the car been fitted with any accessories/modifications, including sign writing or specialist paintwork applied, since manufacture?
If yes - please detail in the notes section at the end.
Please tick if yes - is the vehicle fitted with:

an alarm?an immobiliser?a tracking device?
When do you need the motor policy to start?

DayMonthYear
Date
Current provider
Expiry date of existing policy

DayMonthYear
Date
How many years no claims do you have?
If you have already obtained a quote please let us know the provider and the amount quoted
(Enter quote provider name and amount quoted)
Home Insurance

Please fill in the information below to request a quick home insurance quote.
Do you own the property?
Is the property you main residence?
What type of property is it?
Does the property have a direct alarm?
Does the size include terraces and or storeroom?
When was the property built?
Enter year of construction
What is the size of the property?
Enter size in square metres e.g. 150 sqm
Is your property in an urban area?
Do you require buildings cover?
Building sum to be insured
Contents sum to be insured
Valuables sum to be insured
E.g. antiques paintings precious metals, jewellery, watches high value entertainment equipment etc
Number claims in last 5 years
Number of years since last claim
When do you need the home policy to start?

DayMonthYear
Date
If you have already obtained a quote please let us know the provider and the amount quoted
(Enter quote provider name and amount quoted)
Medical Insurance

For your medical insurance quotes, if there are family members to be included, we'll need their dates of birth, and if they are adults we'll also need to know if they are male or female. We also need to know about any existing medical conditions and whether the insurance is for residency application/s. Please use the box below to provide this info.
Enter dates of birth for each family member, plus note if male of female for anyone over the age of 16, and list any existing medical conditions that you or any other applicants have.
If you have already obtained a quote please let us know the provider and the amount quoted
(Enter quote provider name and amount quoted)
Travel Insurance

Tell us about your travel plans so we can get a quote for cover for you
What cover do you require?
Where will you be travelling
How many travellers?
Please enter the ages of each traveller separated by a comma
Funeral Plan

Submit the form to receive details of available options and costs. We will then contact you to discuss your requirements.
Business Insurance

Please briefly outline your business setup in the box below. We will then contact you to discuss your requirements.
Information space

Use this space to add a message or further info about your requirements
Click submit below to send us your insurance quote request. By doing so you also accept our website Terms & Conditions.
Should be Empty:

Which insurance do you need?

Motor Insurance

Home Insurance

Medical Insurance

Travel Insurance

Funeral Plan

Business Insurance

Information space