Your quote - La réversion

You would like a quote concerning

Payment of survivor's benefits following the death of your spouse or ex-spouse An estimate of survivor's benefits for your spouse

Tell us about yourself!

Your surname

Your first name

Your date of birth

Your place of birth

Your email

Your phone number

Your place of residence

VOUS ETES

Still working Retired

Number of dépendent children :

Date of your spouse's/ex-spouse's death

Votre conjoint ou ex-conjoint avait-il contracté plusieurs mariages

Yes No

I agree that the personal information concerning my person and collected through this form be used to establish a sales proposal concerning the distribution of retirement pension benefits. To that end, the answers to this form are mandatory. I acknowledge that the entity responsible for processing this data is SARL SAUVANT CONSULTANTS (36 Avenue Charles de Gaulle in NEUILLY SUR SEINE (92200), SIRET No. 40253983700029) and that for the duration of this data processing, I have a right to access, change, correct, and contest my personal data. I acknowledge that I understand SAUVANT CONSULTANTS' data policy, available on the following page "personal data" "personal information".