Quote4Insurance
Trailer Insurance
Section 1 - Personal Details
Fore Name
Surname
Address
Town
City
County
Postcode
Phone Number
Email
Occupation
Name of previous insurer
Section 2 - The Trailer
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 trailer is left unattended whilst attached to the towing vehicle ?
Yes
No
-- Select --
the trailer is left unattended whilst detached to the towing vehicle ?
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 trailer, please give details:
Name
Address
Town
City
County
Postcode
Account Number
Section 5 - Cover
Trailer Value
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 / search engine, internet advert etc.