Insurance in UK, Motor, home, Car, House, Marine, home insurance UK, Motor insurance UK

Where Motor Trade Dealers are Welcome.

Please complete the Quote Form below:

Any Queries call 01989 565613.

About You (the Proposer)

Full Name*

Age

Trading Name

Business Address*

Postcode*

Phone* (Daytime)

Best time to call

Other Phone

About Your Business

Working from:

Status:

If working from premises, do you require cover from premises?

Yes

Full Time

Part Time

(the next 3 questions ONLY apply if part time)

If part time, give other occupation

If part time, is this self employed?

Yes

If part time, do you require cover
for this occupation?

Yes

(not all occupations are eligible)

Years in motor trade*

When was business established?*

When does your current policy expire?*

About Your Motor Trade Activities (Motor trade activities must add up to 100%)		Are You Involved With? (These do not need to add up to 100%)

Sales of Vehicles	%	Sports/High Performance/Prestige	%
Mechanical Repairs	%	Veteran/Vintage/Classic	%
Import/Export	%	Buses/Coaches	%
Sales of Parts	%	Motorcycles	%
Tyre Sales/Fitting	%	CC limit required
Service of Vehicles	%	Modified/Kit Vehicles	%
Scrap/Salvage	%	Agricultural/Contractor's Plant	%
Recovery	%	Over 3.5T GVW	%
Body Repairs	%	Max tonnage
Valeting	%	Over 8 Seats (inc. driver)	%
Other	%	American/Canadian	%

About the Drivers you want on your Policy (maximum 7)

Driver no.	Full name	Date of birth	Age	Motor trade status (e.g. employee)	Any other occupation* (if not full time motor trader)

1*
2					Post Code
3
4
5
6
7

Driver no.

spouse

Years UK
full license

Claims/accidents in past 3 years*	Motoring convictions in past 11 years*
(You must confirm Date, Circumstances, Conviction Code, Points & Fine where applicable)

Ever banned

Insurance
refused

Driver No.

Usage

Criminal convictions*

Any health conditions*

* NOTE: We will assume no accidents, convictions, health conditions or other occupations unless details are specifically provided here.

The Cover

Cover Required:

Would you like Demonstration Cover

Indemnity Limit:

If "Other", state Indemnity Limit required:

No Claims Bonus

No claims bonus:	Yes	No
If yes, from:
Number of years:
Is your no claims bonus on a protected basis?	Yes	No
When does, or did, your last insurance expire:	/ /
If no No Claims Bonus, state reason:	Do you have Private Car Bonus?
Other material facts/information:

	Motor Trade Policy Vehicle List

	A detailed list of all vehicles owned must accompany the quotation request.

Vehicles Owned by You

	Make	Model	Reg No.	Value

1
2
3
4
5
Are any of the vehicles: Modified to improve performance? Grey imports?

Vehicles that you have for Sale (if applicable)

If none, give last 5 vehicles sold.

	Make	Model	Reg No.	Value	Date of Sale

1
2
3
4
5

What is your renewal or best Quoted Premium so far?

When do you require cover