Rooted in Spain is the insurance offering for foreign residents in the Iberian Peninsula
Full Name
ID / Passport Number
Address
Postal Code
City
Date of Birth
Gender MaleFemale
Phone Number
Email
Number of additional insured persons (excluding policyholder)
No.
ID
1
2
3
4
5
Other Information
From
To
Destination Country
Is this a cruise? YesNo
Coverage Type Travel assistance onlyTrip cancellation + travel assistance
Amount to insure (€)
Request Date
I authorize ERSM Insurance Brokers to prepare an insurance proposal
