Spanish Car Insurance

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How Do You Wish to Proceed?*
- I will enter the car information myself
- I will upload the car information
Upload Files
(Ficha Técnica)*
Max. file size: 4 MB.
(Permiso de Circulación)*
Max. file size: 4 MB.
Car Information
Make*

D.1
Model*

D.3
Year*

In what year was your car first registered?
You can find this information in section B of the Permiso de Circulación
Spanish Registration Plate (Matrícula)*
Power KW*
You can find it in Permiso de Circulación: example
CV
Number of doors*
- 2
- 3
- 4
- 5
if when opening the trunk, the rear window rises, it is considered one more door.
Petrol*
- Gasoline
- Diesel
- Other (Electric, hybrid etc.)
Additional Car Information
Parking*
Postal Code*
Extras

Insurance Information
Insurance Effect Date*
DD slash MM slash YYYY

When you want your car insurance to start?
Coverage*
Please select the level of coverage you are interested in. You can also select more than one options if you are not sure (by holding Ctr key)

Regular Driver Data
Your Name*
First Last
Date of Birth*
DD slash MM slash YYYY
DNI / NIE*
Date Passed Driving Test?*
DD slash MM slash YYYY
Where did you get your driving license?*
Address*
Street Address City State / Province / Region ZIP / Postal Code
Sex
- Male
- Female

Will the policyholder and the usual driver be the same person?*
- Yes
- No
Policy Holder Information
Name*
First Last
Date of Birth*
DD slash MM slash YYYY
DNI / NIE*
Date Passed Driving Test?*
DD slash MM slash YYYY
In what country driving license was acquired?*
Address*
Street Address City State / Province / Region ZIP / Postal Code

Do You Want to Add a Second Driver?*
- Yes
- No
Second Driver Information
Name*
First Last
Date of Birth*
DD slash MM slash YYYY
DNI / NIE*
Date Passed Driving Test?*
DD slash MM slash YYYY
In what country driving license was acquired?*
Address*
Street Address City State / Province / Region ZIP / Postal Code

Is Policy Holder also Owner of the Vehicle?*
- Yes
- No
Owner Information
Name*
First Last
Date of Birth*
DD slash MM slash YYYY
DNI / NIE*
Date Passed Driving Test?*
DD slash MM slash YYYY
In what country driving license was acquired?*
Address*
Street Address City State / Province / Region ZIP / Postal Code

Contact information
Email*
Phone*
Are you Currently Insured?*
Optional Information
Current Insurance Company
Years Insured
Current Policy Number
Terms of Use*
- I have read and accepted the data protection policy

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