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Customer service center: 1626

Request of vehicle insurance (Casco)

To get an individual insurance offer, please, fill in the request form below. We will calculate the premium and contact You within 1 (one) business day.

Information about the insurer

Name:
Surname:
Personal code:
Driving experience from:
Telephone:
Address:
E-mail:
I am the customer of the AAS “Gjensidige Baltic” Lithuanian branch insurance company

Vehicle data

Plate No.:
Purpose of usage:
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Chassis type:
v
Power (kw):
Fuel:
v
Was the vehicle driven in the U.S.?

Data of other vehicle drivers

Will others drive?:

Other information

Insurance:
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Insurance option:
Comments and desires:
Send insurance request