Get a car quote

Fill in the form below and we will send you a personalised offer as soon as possible!

What percentage of VAT can you recover?

For what guarantees would you like to get a quote?

Third Party Liability (TPL)

Full Omnium

Partial omnium (theft, fire, broken windows, ...)

Legal defence

Assistance

Driver Insurance

(jj/mm/aaaa)

Number of years of insurance as a principal driver over the last 5 years:

Is it a new vehicle, not yet registered in your name ?

Yes

Characteristics of the vehicle to be insured

Installed driving aids

Fatigue detector

Blind spot detector

Traffic lane deviation detector

Adaptive cruise control

Anti-collision system

Parking assistance

Pedestrian and cyclist detector

Original vehicle catalogue value, excl. VAT value.

€

,00

Value of original options, excl. VAT.

€

,00

Prix d'achat HTVA du véhicule (prix facture)

€

,00

If you don't know any of the above values, leave the field you don't know blank.
We strongly suggest that you upload at the bottom of the form a copy of your purchase invoice or purchase order .

(jj/mm/aaaa)

Number of years of insurance as a principal driver over the last 5 years:

How many accidents (in law or at fault) or damages has the driver had in the last 5 years?

plus de 4

Has the driver's licence been revoked in the last 5 years?

Yes

Is there an additional driver?

Yes

Would you like to upload documents or do you have additional information to share?

Yes

WyR Insurance
Avenue de Tervueren 143 - 1150 Bruxelles
patrick@wyr-insurance.be
https://www.wyr-insurance-bruxelles.be
BCE 0429.472.775

Get a car quote

Preliminary Questions

The vehicle to be insured

The usual main driver

Additional driver

Additional information