MOTOR INSURANCE QUESTIONNAIRE

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Please note: Based on your answers, we will calculate the cost of your insurance manually to ensure accuracy and the best possible coverage for your needs.

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Personal Information

First Name

Last Name

Phone number

Your phone number is required so we can quickly contact you if we need more information or to confirm important details about your insurance request. We respect your privacy and will never share your number without your consent

Personal Information

Nationality

At Pitsas Insurance, all clients are treated equally, regardless of their ethnicity or nationality. We ask this question to help us match you with the most suitable insurance advisor. We work with more than 10 qualified advisors from 5 different countries who speak a total of 8 languages. Our goal is to provide you with clear and accurate information in the language you understand best

Date of birth

We ask for your age to provide accurate quotes and meet regulatory requirements. Age can affect eligibility, pricing, and potential discounts. This allows us to offer you the most suitable options. Your information is kept secure and strictly confidential.

Personal Information

City

Postal code

Personal Information

Date of First Driving License

How many years have you been driving without an accident (no claim bonus)?

No claim bonus is the period during which your previous insurance companies have not filed for a claim

How many additional drivers will be using the vehicle?

Vehicle information

Vehicle value (€)

Vehicle use

Does your car have a Cypriot Vehicle Registration Number?

Vehicle Registration Number (Plates)

The vehicle registration number (plates) in Cyprus consist of three letters and three digits (e.g. ABC 123)

Vehicle Manufacturer

Please specify

Vehicle model

Capacity

Number of Seats

Vehicle Model Year

Type of Car

Location of the Steering Wheel

Coverage

Type of coverage (you can choose more than one)

Third Party Liability Cover

Third Party, Fire and Theft Cover

Fully Comprehensive Cover

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MOTOR INSURANCE QUESTIONNAIRE

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