Quote4Insurance
Touring Caravan Insurance
Section 1 - Personal Details
Title
Mr.
Mrs.
Miss
Dr.
Rev.
FirstName
Surname
Address
Town
City
County
Postcode
Phone Number
Email
Occupation
Name of previous insurer
In what year did you start towing caravans
Section 2 - The Caravan
Make
Model
Model Year
Date of Purchase
Serial / CRIS Number
Identifying Marks
Is it protected by a hitchlock or wheel clamp of proprietary make when,
the caravan is left unattended whilst attached to the towing vehicle ?
Yes
No
-- Select --
the caravan is left unattended whilst detached to the towing vehicle ?
Yes
No
-- Select --
Will the caravan ever be used for long-term residential purposes, hire or reward or for business purposes
Yes
No
-- Select --
Is your caravan regular serviced by a complaint service center
Yes
No
-- Select --
Section 3 - Storage
Name of Site Owner
Address
Town
City
County
Postcode
Security Arrangements
Section 4 - Finance
If any finance company has an interest in the caravan, please give details:
Name
Address
Town
City
County
Postcode
Account Number
Section 5 - Cover
Caravan Value
Awning
Outside Furniture
Household Goods
Personal effects and luggage
Pedal Cycles
Total Annual Premium
Section 6 - Have you or persons permanently living with you
Been refused insurance or had special terms or conditions applied by any insurer for any of the risks you wish to insure
Yes
No
-- Select --
Been convicted of, or is any prosecution pending, for any criminal offence or road offence, other than parking offences
Yes
No
-- Select --
Section 7 -
Losses in respect of caravan or caravan contents in the last five years
Year
Amount
Cause
How did you hear of
Quote4insurance
?
e.g. Name of magazine/newspaper you saw our advert in, T.V., radio, Teletext,diverted from other site = please name site, internet advert etc.