Kilometres per year

Is the vehicle a petrol turbo?

Where is the vehicle parked when at home?

Is the Vehicle alarmed?

Is the vehicle used for business?

Any under 25 year old listed drivers?

Excess Preference

Do you require excess free glass/windscreen?

Do you require Roadside Assistance?

Do you require rental car cover?

Any claims/losses/damages in the last 5 years

In the last 5 years has any person to be covered under this policy, had insurance refused, cancelled, special terms imposed, renewal or cover not offered?

In the last 5 years has any person to be covered under this policy had their driving licence suspended, cancelled or special conditions imposed? Do you have any driving infringements such as speeding tickets etc.?

I/We declare that to the best of my/our knowledge and belief these particulars are complete and correct. If anything changes I will inform you. If you provide information about someone else, you confirm you have their premission and that information can be used in the same way as yours.

By entering into this insurance contract with us, you consent to your personal information being collected by us and shared by us with insurers and claims supply partners to enter into this policy with you and any claim in connection with this policy. You also consent to any personal information we hold and provide to insurers connected with any claim that you make being transferred to the Insurance claims Register, a register operated by Insurance Claims Register Ltd for use by participant insurers. The participant may access this information to manage claims.