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If you are unable to confirm this, then, unfortunately, we are not able to insure you. We will gladly assist you by telephone: 00800 24 800 800

I confirm that my driving licence has not been withdrawn in the past five years.
If you are unable to confirm this, then, unfortunately, we are not able to insure you. We will gladly assist you by telephone: 00800 24 800 800

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.
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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.
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