In the case of a data management form

By sending your request for a quote or by ticking the captcha below, you expressly consent to the handling of your personal data provided in the request for quote form by the insurance broker. Depending on the insurance you want to take out, your consent covers data belonging to special categories of personal data, including health data required to take out the insurance. If you do not consent to the processing of your personal data, we will not be able to accept your request for a quote, because in the absence of knowledge of these personal data, the insurance cannot be concluded.