Iberia Insurance Brokers

Private health insurance

{"field36":["Private health insurance"],"field3":"","field5":"","field6":"","field2":[""],"field4":[""],"field7":[""],"field9":"","field17":[""],"field18":"","field25":[""],"field26":"","field27":[""],"field28":"","field29":[""],"field30":"","field13":"","field14":"","field35":["EN"]}

[[[["field10","equal_to","Yes"]],[["show_fields","field13"]],"and"],[[["field9","equal_to","1"]],[["show_fields","field17,field18"]],"and"],[[["field9","equal_to","2"]],[["show_fields","field17,field18,field25,field26"]],"and"],[[["field9","equal_to","3"]],[["show_fields","field17,field18,field25,field26,field27,field28"]],"and"],[[["field9","equal_to","4"]],[["show_fields","field17,field18,field25,field26,field27,field28,field29,field30"]],"and"],[[["field34","equal_to","Please keep me informed about new and upcoming products and services"]],[["trigger_integration",null,null,"MailChimp"]],"and"]]

1 Step 1

Private health insurance

Region in Spain

Birthday

E-mailAn diese Adresse senden wir Ihr Angebot

Phone numberIf you want to further personalize your offer and benefit from special offers

First name

Surname

Would you like to insure additional persons?

First name / Surname

Birthday

First name / Surname

Birthday

First name / Surname

Birthday

First name / Surname

Birthday

Would you like to provide further information?

NoYes

Your commentsWie können wir Ihnen behilflich sein?

0 /

How did you hear about us?

Language

I have read and understood the Iberia insurance brokers privacy policy

A lot is going on in the insurance industry right now.

Please keep me informed about new and upcoming products and services

FormCraft - WordPress form builder

Car insurance

{"field49":["Car insurance"],"field2":["Details of the vehicle"],"field4":[""],"field5":[""],"field6":[""],"field40":"","field10":[""],"field44":[""],"field14":[""],"field45":[""],"field28":"","field51":[""],"field30":"","field18":"","field52":[""],"field19":"","field42":"","field21":["Personal Information"],"field26":[""],"field27":[""],"field29":[""],"field24":"","field25":[""],"field50":["Address in Spain"],"field32":[""],"field33":[""],"field34":[""],"field36":"","field37":"","field48":["EN"]}

[[[["field35","equal_to","Yes"]],[["show_fields","field36"]],"and"],[[["field15","equal_to","Yes"]],[["show_fields","field18,field19,field52"]],"and"],[[["field20","equal_to","Upload vehicle registration"]],[["show_fields","field3"]],"and"],[[["field20","equal_to","Enter data manually"]],[["show_fields","field4,field5,field6,field8,field9,field10,field40,field11,field44"]],"and"],[[["field46","equal_to","Please keep me informed about new and upcoming products and services"]],[["trigger_integration",null,null,"MailChimp"]],"and"]]

1 Step 1

2 Step 2

Car insurance

Details of the vehicle

How would you like to transfer the data?

Upload vehicle registrationEnter data manually

car registration

upload

Brand

Model

Doors

Registration date

Power

HPkW

Cubic capacity

Transmission

AutomaticManuel

Fuel

DieselPetrolHybridElectro

No-claim bonus

Spanish licence plate number

Should Spanish license plates be applied for?

YesNo

Utilization

PrivatCommercial

Birthday

Country of issue Driving license

Driving licenseDatum

Does anyone under the age of 25 use this vehicle?

NoYes

Birthday

Country of issue Driving license

Driving licenseDatum

Personal Information

First name

Surname

Tax number

EmailAn diese Adresse senden wir Ihr Angebot

Phone numberIf you want to further personalize your offer and benefit from special offers

Address in Spain

Street & No.

Post code

City

Would you like to provide further information?

NoYes

How can we help you?

0 /

How did you hear about us?

Languageyour full name

I have read and understood the Iberia insurance brokers privacy policy

A lot is going on in the insurance industry right now.

Please keep me informed about new and upcoming products and services

FormCraft - WordPress form builder

Homeowners and contents insurance

{"field54":["Homeowners and contents insurance"],"field9":["How is the property used?"],"field11":["Information about the property"],"field13":"","field14":[""],"field16":[""],"field17":[""],"field15":[""],"field18":[""],"field20":["Insurance sum"],"field19":[""],"field21":[""],"field23":["Valuables"],"field24":"","field22":[""],"field28":"","field25":[""],"field26":[""],"field27":[""],"field29":["Property Security"],"field33":["Personal Information"],"field34":["Where is your property located?"],"field35":[""],"field36":[""],"field37":[""],"field38":[""],"field39":[""],"field40":"","field41":[""],"field43":[""],"field44":[""],"field45":[""],"field47":"","field48":"","field53":["EN"]}

[[[],[],"and"],[[["field13","equal_to","Apartment"]],[["show_fields","field14"]],"and"],[[["field42","equal_to","Yes"]],[["show_fields","field43,field44,field45"]],"and"],[[["field46","equal_to","Yes"]],[["show_fields","field47"]],"and"],[[["field3","equal_to","Ownership"]],[["show_fields","field5"]],"and"],[[["field52","equal_to","Please keep me informed about new and upcoming products and services"]],[["trigger_integration",null,null,"MailChimp"]],"and"]]

1 Step 1

2 Step 2

Homeowners and contents insurance

How is the property used?

OwnershipRented

primary residencesecondary residence

own uselong-term rentalholiday rental

Information about the property

Outside closed village? (> 1km)

NoYes

Type

Floor with number

living space (sqm total)

remaining area (sqm)

Construction year

Last renovation

Insurance sum

Building insurance

Household insurance

Valuables

For co-insurance of the valuables given below, the items contained in the sum insured must be stated.

Note: valuables are only insured, if stated here.

Valuables

Valuables: paintings, sculptures, antiques, precious rugs, silverware / carcase silver

Cash

Jewellery

Other

Property Security

Is a burglar alarm system available?

NoYes, without activationYes, with activation

Security

massive doorsafety locksafety glassgratingwooden shutterssecurity shutters

Personal Information

Where is your property located?

Street & No.

Post code

City

First name

Surname