fleet motor insurance

FLEET MOTOR INSURANCE

A company or person owning more than 5 vehicles can insure them all on one policy - a fleet motor policy.

Please complete the quotation request below or click here if you would like a consultant to call you.

call us on 01726 61811

GET A FLEET MOTOR INSURANCE QUOTE...

about you...

Proposer's Name

 

Email address (required)

 

Address

 

Postcode

 

Telephone No

 

Date of Birth

about The BUSINESS

Company or trading name

 

Business address

 

Postcode

 

Telephone No

 

Fax No (optional)

 

Description of trade or business

 

GENERAL QUESTIONS

1) Have you the Proposer or any Partner or Director ever been convicted of or charged (but not yet tried) with a criminal offence?

Yes No

or been declared Bankrupt or Insolvent?

Yes No

2) Have you the Proposer or any Partner or Director for the business now being propsed or for any previous business ever been insured for any of the risks now being proposed?

Yes No

 

if yes please give details below of the name(s), trading name(s) and insurer(s)

 

Name(s) and trading name(s)

Insurer(s)

VEHICLES TO BE INSURED

Click 'move on' at any time that you have completed a section and don't need to add more

 

Vehicle 1

Make and model/type

Year of manufacture

 

Cubic capacity

 cc

Estimated value (£)

 

Registration mark

 

NCD (years) at this renewal

 

Has the vehicle been modified in any way?

Yes No

if yes, please give details

 

 

Vehicle 2 or move on to drivers

Make and model/type

Year of manufacture

 

Cubic capacity

 cc

Estimated value (£)

 

Registration mark

 

NCD (years) at this renewal

 

Has the vehicle been modified in any way?

Yes No

if yes, please give details

 

 

Vehicle 3 or move on to drivers

Make and model/type

Year of manufacture

 

Cubic capacity

 cc

Estimated value (£)

 

Registration mark

 

NCD (years) at this renewal

 

Has the vehicle been modified in any way?

Yes No

if yes, please give details

 

 

Vehicle 4 or move on to drivers

Make and model/type

Year of manufacture

 

Cubic capacity

 cc

Estimated value (£)

 

Registration mark

 

NCD (years) at this renewal

 

Has the vehicle been modified in any way?

Yes No

if yes, please give details

 

 

Vehicle 5 or move on to drivers

Make and model/type

Year of manufacture

 

Cubic capacity

 cc

Estimated value (£)

 

Registration mark

 

NCD (years) at this renewal

 

Has the vehicle been modified in any way?

Yes No

if yes, please give details

 


Vehicle 6 or move on to drivers

Make and model/type

Year of manufacture

 

Cubic capacity

 cc

Estimated value (£)

 

Registration mark

 

NCD (years) at this renewal

 

Has the vehicle been modified in any way?

Yes No

if yes, please give details

 

Driver details

To the best of your knowledge will the vehicles be driven by any person who:

 

a) has any physical or mental defect or suffers from diabetes, epilepsy or any heart complaint?

Yes No

b) has been convicted of any motoring offence (including fixed penalty offences) during the past 5 years, or has a prosecution pending, other than for parking?

Yes No

c) has had a licence suspended during the past 5 years?

Yes No

d) is under 25 years of age?

Yes No

 

if you have answered yes to any of the above driver questions a-d, please provide details in the additional info box for the driver(s) involved.

 

Driver 1

Full name

 

Date of birth

 

Date test passed

 

Additional info

 

Driver 2 or move on

Full name

 

Date of birth

 

Date test passed

 

Additional info

Claims Experience

How long have you been in business?

 years

 

Has any insurer in respect of any business in which you have been engaged ever:

 

a) declined a Proposal, not invited a renewal of a Policy, refused to renew or cancelled a Policy?

Yes No

b) imposed special conditions (e.g. premium loading, cover restrictions or increased excess)?

Yes No

 

if you have answered yes to any of the above please give details

 

Renewal Date of present insurance (if applicable)

 

Current Insurer

Insurance required from

 

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