AXA Int

Insurance Agent For English Speakers in France

Your home quote

Where did you hear about AXA Agence International?
Other
What is the name of the relocation agency, estate agent, person who recommended us, or which exhibition
Are you in the process of moving to live in France
Title
Surname
First name
Mobile telephone number
Country Code
Email address
Marital status
Occupation
Job Title
Date of birth (Format DD/MM/YYYY)

CORRESPONDANCE ADDRESS

First line of your address
Additional address details
Additional address details
Post Code
Town/City
Country
Same as risk adress
Is the property ?

ADDRESS OF PROPERTY TO BE INSURED

Address
Additional address details
Post Code
City / Town
Type of property
Which floor level is the apartment located on:
Habitable surface in m2
Number of rooms - Any living space (including a conservatory) greater than 6m² and less than 40m² excluding kitchens, entrances, toilets, bathrooms, hallways. For rooms larger than 40m², count one room for each 40m²
Are any of the rooms over 40m² ?
Yes No
When was the building built?

Does the property have any of the following:

Conservatory - additional room with glass roof/walls
What is the size in m2
Wood burning stove, insert (enclosure within a fireplace with a door)
Yes No
Do you have other buildings on the land? E.g. Garages, barns, pool house or shed etc. Basements, garages and attics which communicate directly with the property (by way of a door/corridor) are automatically insured. The cave in a sous-sol of an apartment (not communicating with the residential area) or a garage not connected with an internal door to a house must be declared
What is the size in m2?
Do you want to insure the outbuildings?
Value of goods to insure in our outbuildings - tools, DIY/hardware materials, lawnmower …
Swimming pool
What is the size in m2
Will you rent out the property on a long term basis with a tenancy agreement?
Yes No
Do you want to insure the contents of the property?
Do all access doors to the property have at least one lock? Locks without keys and padlocks are not considered to be locks. Accepted technology: mechanical locks (grooved, cylinder, pump) and electronic locks (connected, biometric)
Yes No
Do all access doors to the outbuildings have at least one lock? Locks without keys and padlocks are not considered to be locks. Accepted technology: mechanical locks (grooved, cylinder, pump) and electronic locks (connected, biometric)
Yes No
If you have other security measures at the property please specify
Are you currently insured in France?
Name of current insurer
Is this policy
What is the start date for the insurance? (Format DD/MM/YYYY)
Type of payment
Have you made any claims in the last 36 months? If yes please give details including the date of the claim
Number of claims in the last 36 months
What was each claim for?

* Required fields