Policy Application

Do you want a convenient and time-saving way to acquire an insurance policy or calculate insurance costs?
Fill in the application below and our BTA Customer Support Centre experts will contact you at a time convenient for you.

Contact Information

Name*
Surname*
Address	Address, city, postal code
E-Mail*
Mob. phone*

The Product You Are Interested In

Preferable time and date of the call

Preferable language of communication

Select the type (types) of insurance*

Property Insurance

Movable Property Insurance

Accident Insurance

Civil Liability Insurance

Other

	I want to receive BTA special offers and news

I allow BTA to process my personal data, including my personal number, to account the customers in accordance with the effective regulatory enactments of the Republic of Latvia. I confirm that I familiarized with the Terms and Conditions of the Customer Loyalty Programme and agree that BTA reserves the right to make changes in the Terms and Conditions of the Customer Loyalty Programme.

Security code*

* Obligatory fields