Payment details for policy

• *Policy type:

  ACCIDENTEAGRICOLEANIMALEAOLBANI VALORIBUNURICARCARGOCASCOCMRCPMEEIFALIMENTGARANTIIMEDICALEMEDICALE SPORT EXTREMMEDICALE U.EOPTIM CASARASPUNDERE CIVILARCASECOND MEDICAL OPINIONTRACTARI

  Please select the type of policy.

• *Policy series:

  Please enter the policy series.

• *Policy number:

  Please enter the policy no.

•  Additional document number:

  Please enter the number of the additional document.

•  Rate number:

  Please enter the rate number. If it is not paid in installments, leave value 1.

• *Amount:

    RON

  Please enter the amount you want to pay.