Adjust insured amount of liability insurance .

Hidden

Cover id hidden

Your reference(Required)

What is your current family composition?(Required)

Single

Single with children

Living together with children

Living together without children

E-mail address(Required)

Enter e-mail address Confirm e-mail address

Phone number(Required)

Acceptance questions & Final questions

These are the acceptance questions & final questions we are required to ask.

Have you, or any of the persons you wish to co-insure, such as (co-)owner, family members, roommates or your partner; suffered a loss or caused a culpable injury in the last 5 years due to an event covered by the insurance(s) applied for?(Required)

Yes

Have you, or any of the persons you wish to co-insure, such as (co-)owner, family members, household members or your partner; received a denial or cancellation from an insurer in the past 5 years?(Required)

Yes

Have you, or any of the persons you wish to co-insure, such as (co-)owner, family members, roommates or your partner; committed an offense in the past 8 years that has caused you to be in contact with police and/or convicted by the courts?(Required)

Yes

Did you fully understand and truthfully answer all the questions asked?(Required)

Yes

CAPTCHA

Adjustment of insured amount liability insurance

Acceptance questions & Final questions

We can be reached via Chat, Whatsapp, phone or email