Home insurance quotation

Please complete the questionnaire below.

All the fields marked with an * must be completed.

Title *

Surname *

A value is required.

Maiden name

First name *

A value is required.

Date of birth *

A value is required.

Invalid format. (DD/MM/YYYY)

Town of birth *

A value is required.

Occupation *

A value is required.

Marital status *

Address

Address *

A value is required.

Town / City *

A value is required.

Post Code *

A value is required.

Country *

A value is required.

Contact

Telephone number *

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E-mail *

A value is required.

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You want to be contacted by *

Phone

E-mail

Date :

Hour :

Account

Britline Account number (if already a Britline customer)

If you do not currently have an account with Britline, click here to create an account.

French Property⁽¹⁾ to be insured

Date insurance cover to begin ? *

A value is required.

Invalid format. (DD/MM/YYYY)

Please note: Even if your policy is not due for renewal until later in the year, we will guarantee the initial quotation price for subscription within the following 12 months. ⁽⁴⁾

How would you like to pay for your French Property insurance? *

Please confirm the name of your French bank * (obligatory in order to put in to place your insurance cover)

A value is required.

Do you have or will you be arranging a mortgage for this property? *

Are you currently in the process of cancelling an existing insurance on the property? *

Is the cancellation following sale of a property/change in your situation? *

Address of the property *

A value is required.

Town / City of the property *

A value is required.

Post Code of the property *

A value is required.

The property will be your *

Will you be holiday letting or renting to long term tenants? (If so which?) *

A value is required.

You are *

Type of property *

A flat; please indicate
which floor? :

Number of main rooms ⁽²⁾ *

A value is required.

Number of rooms over 40m²? *

A value is required.

Size (m²) of the outbuildings ⁽³⁾, if any *

A value is required.

Do you have open fires or wood burning stoves ? *

Solar panels size (m²) on the roof, if any? *

A value is required.

Do you have a swimming pool? *

Is your home protected by a security alarm system? *

Would you be interested in obtaining a quotation for 24/7 Home Security? *

Have you previously had insurance cancelled by an insurer? *

Current French insurance company, if any

How many claims have you made within the last 3 years ? (including no blame) *

A value is required.

Do you already hold a Legal Protection Policy? *

Would you be interested in us providing you with a Legal Insurance quotation? *

Do you have children that go to school in France on a permanent basis? *

Name of child 1

Date of birth of Child 1

[+] Add a child (5 max)

You must check this box.

I certify that I have read the terms and conditions below *

CNIL-The personal data collected by the Regional headquarters as a controller, under the present form will be used for the following purposes: making contact with you and commercial development. Your personal information is necessary in order to arrange an appointment with you and in order for you to benefit from various advantages. You can at any time, in accordance with the law n°78-17 from the 6th January 1978, access, rectify and object to the disclosure of your personal information by the bank for commercial purposes, in writing by letter to the following address: Caisse Régionale de Crédit Agricole Mutuel de Normandie Service Qualité Relation Client, 15, esplanade Brillaud-de-Laujardière - CS 25014 - 14050 CAEN CEDEX 4. The stamp fee will be refunded upon your request. Find out more by consulting our data protection policy.

Opposition to telephone canvassing: If you do not wish to be contacted by telephone canvassing you may register on the Bloctel telephone canvassing oppososition list, no charges apply. For more information on how to register visit www.bloctel.gouv.fr. Consumers registered on this list cannot be contacted for telephone canvassing, unless there is a pre-existing contractual agreement in place with the professional for commercial telephone calls.

(1) Crédit Agricole / Pacifica cannot insure the following properties :

Those with more than 12 main rooms in a house or apartment.
Those with contents valued as greater than the maximum stipulated by the option chosen.
Those with more than 600m² of outbuildings.
Those which are permanently uninhabited or in a dilapidated condition.
Secondary residences in Corsica.
Those of which part of the property is uninsurable.
Caravans and mobile homes (can be insured under a separate policy other than home insurance-ask you advisor for further details).
Those which are used solely for holiday letting purposes.

(2) Do not include kitchen, bathroom, entrance hall or rooms under 7m².

(3) Outbuildings. Not situated under or over buildings used for habitation. Must be situated within the same town or suburbs as the main living accommodation, or within a 20km radius of the insured property.

(4) The price guarantee applies if you subscribe to the initial insurance proposal within one calendar month of the quotation date. From time to time CA Britline provides special offers and discounts on French home insurance. These offers are publicised and apply to new customers only.

Insurance contracts are provided by PACIFICA, a company governed by the Insurance Code. Terms and conditions are included in the contract.

Data Protection
All the above data are collected as part of this quotation by Pacifica as the controller. All of the data are subject to computer processing and is required to implement the tariff calculations. The recipients of this data are CREDIT AGRICOLE NORMANDY and its partners.
In accordance with the Data Protection Act of 6 January 1978, you have a right to access and rectify information; you can exercise your right by sending an email to webmasterB@ca-pacifica.fr.

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