Overseas Housing Protection Program: Germany
Enrollment Form
For US Citizens Only

Overseas Housing Protection: Germany

Basic Plan

Promotional Rate $199 until March 1, 2025

First name

Last name

Phone

Birthday

Country/Region

Address

City

Zip / Postal code

Germany Region

Check all that apply for your household.

Single Adult

Multiple Adults

One or More Children

One or More Pets (i.e. cats, dogs)

Date Moved Into Current Residence

Expected DEROS/Date Leaving Germany

Bank Name for Insurance Payments

Account Holder Name

IBAN for Insurance Payments (deducted monthly in Euro)

I certify that I am a citizen of the United States.

I understand that my information will be shared with an insurance agency, in compliance with Privacy Act Regulations whom will enroll me in a German Insurance Policy for both Tenant's Liability Insurance and Tenant's Legal Insurance. The monthly fees will be automatically withdrawn from the provided IBAN Bank Account in Euro. I have the right to withdraw my enrollment in this policy within 14 days.

I confirm that I have read Evaliah Estates LLC : Liability Clause

https://www.evaliahestates.com/disclaimer-liability

Signature

You will be redirected for payment.

Overseas Housing Protection Program: Germany Enrollment Form For US Citizens Only

Overseas Housing Protection: Germany

Overseas Housing Protection Program: Germany
Enrollment Form
For US Citizens Only