Car insurance application
Step 1
Please, fill the form below in order to continue
Go to
main page
and login in order to save your infotmation to use it next time
Person Details
Email:
First name:
Last name:
Birth date:
Passport number:
Car Details:
Car model:
Select car model
Tesla
BMW
Ferrari
Ford
Porsche
Honda
Lamborghini
Toyota
Bentley
Maserati
Audi
Jeep
Subaru
Cadillac
Chyrsler
Chevrolet
Dodge
Hyundai
Jaguar
Mazda
Nissan
Alfa Romeo
Bugatti
Lexus
Rolls-Royce
Aston Martin
Chevrolet
Kia
Mercedes-Benz
Volkswagen
Volvo
Mitsubishi
Infiniti
Peugeot
Saab
Suzuki
Citroen
Fiat
Mini Cooper
Renault
Skoda
Opel
Seat
Dacia
Other
Car year:
Select car year
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
Engine size:
Select engine size
0.2 L.
0.4 L.
0.5 L.
0.6 L.
0.7 L.
0.8 L.
0.9 L.
1.0 L.
1.2 L.
1.4 L.
1.5 L.
1.6 L.
1.8 L.
2.0 L.
2.2 L.
2.4 L.
2.5 L.
2.6 L.
2.8 L.
3.0 L.
3.2 L.
3.4 L.
3.6 L.
3.8 L.
>4.0 L
Car number plate:
Insurance Information
Area of Cover:
Select an area
Worldwide
USA
Europe
Asia
Worldwide excluding USA
Start date:
End date:
I read, understand, and agree with the
terms and conditions
and the
product document
information as well as all legal documentation and correspondence is exclusively in English language.
I read, understand and agree to the fact that this plan is sold online without personal advice. I understand that if I require personal advice, I can contact Swisscare directly.
I read, understand and agree with
legal information
and
the data protection policy
.
