Rooted in Spain is the insurance offering for foreign residents in the Spanish territory
Full Name / Company Name
Nationality
ID / NIE / CIF / Passport Number
Date of Birth
Phone
Email
Address
Postal Code
City
Cadastral Reference
Type of Property —Please choose an option—Ground floor flatMiddle floor flatAttic flatDetached HouseSemi-detached House
Year of Construction
Year of Renovation
Built Area (m²)
Ownership Regime —Please choose an option—OwnerTenant
Use of Property —Please choose an option—Primary ResidenceSecondary Residence
Private Pool? —Please choose an option—YesNo
Garden Area? —Please choose an option—YesNo
Garden Area (m²)
Solar Panels? —Please choose an option—YesNo
Solar Panels Value (€)
Alarm System —Please choose an option—YesNo
Security Door —Please choose an option—YesNo
Bars on Accessible Windows —Please choose an option—YesNo
Safe —Please choose an option—YesNo
Other Protections
Building (structure/renovations) (€)
Contents (furniture, electronics, décor) (€)
Valuable Items > €3,000 (art, collections, etc.)
Jewelry IN safe > €3,000
Jewelry OUT of safe > €3,000
Do you own a dangerous dog breed? —Please choose an option—YesNo
Current Insurance Company
Policy Expiration Date
Premium (€)
Additional Comments
I authorize ERSM to prepare an insurance proposal
