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Caravan Insurance Quotation Form
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Personal Details |
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Title: |
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First name(s): |
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Surname: |
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Home address: |
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Postcode: |
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Telephone number: |
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Date of birth: |
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Occupation: |
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Have you owned and insured a caravan
within the last 6 weeks?: |
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If Yes,
how many continuous years have you owned and insured a touring caravan?: |
years |
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If No,
why not (e.g. new purchase,)? |
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Current Insurers (If applicable): |
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Current renewal premium (if
applicable): |
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When would you wish the policy to
start from: |
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Vehicle
Details |
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Is the caravan manufactured as a: |
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Caravan make: |
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Caravan exact model: |
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Year of manufacture: |
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Serial/VIN/CRIS Number (If Known): |
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Number of axles: |
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Berth: |
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What is the 'internal length' of the caravan: |
Feet. |
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What is the ' width' of the caravan: |
Feet. |
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Purchase date: |
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Are you a 'Caravan Club' member?: |
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If 'Caravan Club' member, what is
your club name?: |
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Where is the caravan kept when out of use: |
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Caravan Security |
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Address where caravan kept when 'out
of use': |
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Postcode: |
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What is the perimeter security to
the actual compound when out of use?: |
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Are there locked gates to ALL
exit/entry points at all times?: |
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Is there CCTV installed at the
compound?: |
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What is the number of caravans on
the site/compound?: |
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Do you have an alarm of proprietary
manufacture fitted?: |
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Do you have a tracking device fitted
to the caravan?: |
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Do you have a Datatag fitted to the
caravan?: |
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Is the caravan fitted with a
hitchlock of proprietary manufacture?: |
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Is the caravan fitted with a wheel
clamp of proprietary manufacture?: |
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Any other security measures at the
site when out of use or security on the caravan, please add
here: |
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Sums Insured |
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There are 2 types of cover to choose
from:-
New for Old Cover. In
the event of a total loss you would receive a brand new touring
caravan of the same manufacture and model. Contents etc are also
New for Old, so you must make sure the cover you put down
represents the cost to replace the items with brand new
equivalents.
Market Value Cover. You will
receive the current market value of your caravan and contents at
the time of the incident. Wear and tear will be taken in to
account for the contents. The sums insured you place below
should represent the current market value of the caravan and
contents. |
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Do you require 'New for Old' cover
or 'Market Value' cover?: |
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Caravan sum insured (inc fixtures &
fittings)?: |
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Equipment sum insured (gas bottles,
stabilisers, wheel clamps, generators, excl awnings)?: |
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Contents and personal effects
(clothing, luggage, portable TV's, general household goods
etc)?: |
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Cover for any awning(s)
you have?: |
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If cover is required for any
awning(s), what is the age of the awning?: |
years old. |
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Additional
Information |
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Will the caravan be used for towing
on the road?: |
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Have you made any claims in the last
12 months?: |
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Have you had any accidents or losses
during the last 3 years with any caravan owned, hired or used by
you?: |
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No insurer has declined to accept,
cancelled or refused to renew or apply special terms to your
policy?: |
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Have you ever been made bankrupt or
been convicted of any offence other than driving?: |
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Is the caravan occupied as a
permanent residence?: |
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Will the caravan be let out on hire
other than on a fixed site?: |
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Will the caravan ever be used for
business purposes? |
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If you have answered 'yes' to any of
the additional information questions, please give full details
here: |
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Your Contact Details |
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Contact name: |
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Phone number: |
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Email address (Please make sure correct): |
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How would
you like us to contact you with our quotation: |
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