younGo motorcycle and scooter insurance

Take out insurance now

Title *

Please enter a value.

First name *

Please enter a value.

Input is to long

The inputs in the fields do not match.

Last name *

Please enter a value.

Input is to long

The inputs in the fields do not match.

Street *

Please enter a value.

Input is to long

The inputs in the fields do not match.

No. *

Please enter a value.

Input is to long

The inputs in the fields do not match.

Postcode *

Please enter a value.

Please enter your postcode.

Input is to long

The inputs in the fields do not match.

Town/City *

Please enter a value.

Input is to long

The inputs in the fields do not match.

Nationality *

Please enter a value.

Date of birth *

Please check date.

Please enter a value.

Error 'stepMismatch'

Please check date.

Mobile *

Please enter a value.

Please enter your telephone number.

Input is to long

The inputs in the fields do not match.

Email *

Invalid e-mail format

Please enter a value.

Input is to long

The inputs in the fields do not match.

Date of contract commencement *

Please check date.

Please enter a value.

Error 'stepMismatch'

Please check date.

Upload your vehicle registration document as a file or smartphone photo: *

File upload

Please enter a value.

Do you already have a licence plate for the vehicle?

Please enter a value.

Canton

Please enter a value.

Number

Please enter a value.

Input is to long

The inputs in the fields do not match.

I confirm that my driving licence has not been withdrawn in the past five years.

Please enter a value.

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.

Please enter a value.

Have you made any claims in the past five years? *

Please enter a value.

Number of liability claims *

Please enter a value.

Unfortunately, we are not able to insure you. We will gladly assist you by telephone: 0800 24 80 10

Input is to long

The inputs in the fields do not match.

Number of collision insurance claims *

Please enter a value.

Unfortunately, we are not able to insure you. We will gladly assist you by telephone: 0800 24 80 10

Input is to long

The inputs in the fields do not match.

Number of other claims *

Please enter a value.

Unfortunately, we are not able to insure you. We will gladly assist you by telephone: 0800 24 80 10

Input is to long

The inputs in the fields do not match.

How were you alerted to our offer? *

Please enter a value.

Please state the name: *

Please enter a value.

Input is to long

The inputs in the fields do not match.

Comments

Please enter a value.

Input is to long

The inputs in the fields do not match.

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).

Please enter a value.

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

Please enter a value.

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

Please enter a value.

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.

Please enter a value.