Application for motorsport participant liability insurance
Annual insurance, with automatic renewal
(For registered & unregistered vehicles)

Take out your motorsport participant liability insurance quickly and easily here.
Please send us the completed application form. (* Mandatory fields)

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First Name, Second Name
Scope
Europe

e.g. 29.07.2024 | The contract will be automatically renewed if it is not terminated three months before expiry.
Premium calculation basis / Type of insurance
**plus the respective state tax. The coverage meets the requirements of the law implementing Directive (EU) 2021/2118 with regard to motor vehicle liability insurance and the control of the corresponding insurance obligation and amending other insurance law provisions of April 11, 2024.
Notice / Note (Obligation)

SEPA direct debit mandate / direct debit authorization (mandatory) (annual payment method)

Creditor Identification Number: DE18SRC00000498807

Does not apply to customers outside Germany, an invoice will be issued here.
Direct debit authorization
The insurance cover extends to statutory liability
The insurance cover extends to statutory liability copy
Contractual basis
See attachment below.
Data protection
Yes, I agree that my personal data will be collected, processed and used by Raceinc. – The Insurance in Motorsport / Trackdayversicherung.de owner Mr. Tobias Groenen to create a one-off offer. The data will only be forwarded to the respective insurance companies for the desired offer. I can revoke this consent at any time with effect for the future by calling 002151-3523051 or by sending an email to groenen@raceinc.de or info@trackdayversicherung.de.
Signature

 

ATTACHMENT CONTRACT DOCUMENTS

Request motorsport participant liability insurance (Annual Insurance)
(PDF-Form, 168 KB)  

SRC Special Conditions participant liability insurance
(PDF, 186 KB)

SRC General Terms and Conditions of Insurance for Motorsports insurance
(PDF, 1.05 MB)