Quote4Insurance

Road Risk Quotation

Section 1 - Client Details

 

 
Full Trading Name
Title
First Name
Surname
Contact Telephone Number
Email
Business Address
Town
City
County
Post Code
   
Section 1 - Address for Correspondence ( If different from above )
   
Address
Town
City
County
Post Code
Contact Telephone Number
Email

 

Section 2 - Nature of Business
   
Sales
Service
Mechanical Repairs
Recovery
Mobile
Other
Percentage of turnover   
relating to repairs
Percentage of turnover  
related to tyres
Do salvage/scrap vehicles
How many years in trade ?
When was business established
Do you work from home ?

 

Section 3 - What do you specialise In
   
Sports, high performance, high value, (over 20k) or modified vehicles ? 
Veteran / Vintage / Classic Cars ?
Vehicles over £20k value ?
GTs, Turbos or XR Models ?
Is Demonstration Use Required ?
Indemnity Limit Required 
Covert Needed
Details of vehicles owned but not for sale
 
 
   
Details of vehicles for sale
 
 
 

 

Section 4 - Details of Principal / Partners / Directors / Employees

 

 

 

 

 

 

 

 
Name D.O.B Age Status Licence Held UK Resident Bus SDP

 

Section 5 - Accident Details

 

 

 

 

 
Accidents in  Motor Convictions  Banned Criminal Convictions Physical Disabilities
Last 3 yrs in last 5 Years  
 

 

Section 6 - Claims Details & Current Insurance Details
   
Main Policy Holder can use no claims bonus from Private Car / Commercial Vehicle / Motor Trade / Company Car
(Proof of N.C.B will be needed )
 
Number of No Claims Bonus
If No, give Reasons
   
Years % Transfer / Intro. Existing Insurer Renewal Date
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 / search engine, internet advert etc.