Services
Fees
Team
Real Estate
Sponsorship
Contact
My Tax Return
EN
- FR
- EN
- ES
- IT
- PT

Select Page

Insurance

Prepare your insurance application

Accepted formats are PDF, JPG, and PNG, up to 25 MB per file.
After submission, your application will be handled by our team for processing and follow-up.

The information provided is treated confidentially and used solely for the purpose of your insurance application.

Insurance request

Insurance type *

Motor vehicle Household Legal protection Life / Pension

Last name *

First name *

Email *

Phone *

Step 1: Identity

Step 2: Vehicle & documents

Step 3: Comments

Step 1: Identity

ID document *

Driving licence (front) *

Driving licence (back) *

Step 2: Vehicle & documents

Vehicle type *

Car Motorcycle Scooter Other

Vehicle registration *

Foreign nationality? *

Yes No

Residence permit copy *

Comparative request? *

Yes No

Current policy + last premium notice *

Licence withdrawn > 3 months in last 3 years? *

Yes No

Leasing vehicle? *

Yes No

Parked in home garage? *

Yes No

Driver under 25? *

Yes No

Driver assistance (ADAS)? *

Yes No

ADAS include emergency braking, lane assist, adaptive cruise control, etc.

Claims amount and type (last 3 years)

License plate number

Car price (without options)

Options amount

Sales contract copy

Km per year *

Step 3: Comments

Comments (optional)

Lease copy *

Accepted formats: PDF, JPG, PNG. Max 5 MB per file.

Comments (optional)

Address *

Date of birth *

Nationality *

Marital status *

Client type *

Individual Family

Main domain *

Comments (optional)

Professional status *

Employee Self-employed

Main objective *

Savings Insurance / protection Both

Planned amount (CHF/month)

Payment frequency *

Monthly Yearly

Comments (optional)

Sending…

ProBudget

ProBudget SA

ProBudget SA is licensed as an insurance intermediary by FINMA under registration number F01352211.

Sitemap

Home
Services
Fees
Team
Real Estate
Contact

Sponsoring
My Tax Return
Legal Notices
Privacy Policy

ProBudget

Avenue de Chailly 7
Case postale 77
1000 Lausanne 12

Extrait RC

ProBudget SA

Route de la Combaz 48
Résidence Clair Azur B n°93
3963 Crans-Montana

Extrait RC