Dog Insurance Summary

Dog Liability Insurance

Insurance Provider: Adcuri

Plan

Sum Insured

Best Benefit

Number of Dogs

Dog Liability Insurance

Summary and confirmation

Please review your information and confirm the required documents.

Application data is missing or incomplete. Please complete or correct the missing information directly on this page.

Personal & dog information

First Name:

Last Name:

Birthdate:

Email:

Street:

House Number:

Postal Code:

City:

German Address:

N/A

Gender:

Liability Claims:

Dog information

Payment information

IBAN:

BIC:

Bank Name:

Payment Frequency:

Insurance start date:

Different Account Holder

First Name:

Last Name:

Postal Code:

City:

Street:

House Number:

Country:

Email:

I confirm that I have received and reviewed the insurance conditions, the General information + data protection, the Notice in accordance with §19, paragraph 5 VVG, the Consent to Email contact and the Important notes.

By providing the payment details and confirming the payment, you authorise Barmenia (parent company of Adcuri) and its local service provider to collect payments from your account by direct debit. At the same time, you instruct your bank to debit your account accordingly in accordance with these instructions. I confirm that my dog is not a restricted breed as listed here.

Please confirm that you have read the offer documents and agree with their content.