Form to request a quote Insurance for domestic staff

Please fill in the following form if you would like one of our advisers to contact you.

Title

Name *

First name *

Address *

Postcode and town *

Telephone

Email address *

When did the person start working for you? *

Has one of your employees already suffered an accident while working for you? *

Annual amount of salaries to be insured (gross AVS/AHV in CHF) for female workers *

Annual amount of salaries to be insured (gross AVS/AHV in CHF) for male workers *

Does the number of work hours worked per week exceed eight hours? *

Message

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