Motorcycle and scooter insurance younGo - take out
Ms Mr
First name
Last name
Please choose Switzerland Germany France Austria Italy Liechtenstein Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctic Antigua and Barbuda Argentina Armenia Aruba Australia Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory British Virgin Islands Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Cook Islands Costa Rica Croatia Cuba Cyprus Czech Republic Democratic Republic of the Congo Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland French Guiana French Polynesia French Southern Lands Gabon Gambia Georgia Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Honduras and McDonald Islands Hong Kong SAR China Hungary Iceland India Indonesia Iran Iraq Ireland Israel Ivory Coast Jamaica Japan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Lithuania Luxembourg Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia (Federated States of) Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Palestinian National Authority Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Islands Poland Portugal Puerto Rico Qatar Republic of the Congo Réunion Romania Russia Rwanda Saint Barthélemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino São Tomé and Príncipe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Korea Spain Sri Lanka Stateless Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Syria Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu U.S. Minor Outlying Islands U.S. Virgin Islands Uganda Ukraine United Arab Emirates United Kingdom Uruguay USA Uzbekistan Vanuatu Vatican City Venezuela Vietnam Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe
Date of birth
Date of contract commencement
Do you already have a licence plate for the vehicle?
Yes No

I confirm that my driving licence has not been withdrawn in the past five years.

I confirm that, during the past five years, neither Baloise nor any other company has refused my application for insurance, terminated a contract or imposed special conditions on the basis of claims cases.

Have you made any claims in the past five years?
Yes No
How were you alerted to our offer?
Please choose Customer adviser Friends Advertising Google+ Facebook Instagram Other

By submitting the form, I declare that I have answered all the questions truthfully and completely, that I have read the Product Information and that I agree to the general Terms and Conditions (PDF).

By submitting the form, I declare that I have read the Privacy Policy (German only) and that I agree to it.

By submitting this form, I agree to the additional provisions for insurance contracts subjects to the law of Liechtenstein (German only).

By submitting this form, I agree to insurance transactions being conducted electronically and to paper documents being dispensed with. Upon conclusion of the contract, I will obtain automatic access to the myBaloise customer portal.

Take out insurance