Private Car Insurance Quote Form

Car Insurance Quotation Request Form

Arrange a free insurance quote for your car. Simply complete and submit the quotation form below and we will come back to you with a quote a soon as possible. Alternatively give our office a call and we can collect information over the phone. As brokers we search a panel of the top UK insurers to find you the best available policies in the market.

N.B. We are unable to insure customers based in Northern Ireland.

1Car Details

2Proposer

3Cover

4Additional Drivers

5Contact

Step 1. Car Details.

Car details and insurance start date

Policy Start Date: *

Your renewal or inception date of your policy:

Registration Number *

Please ensure the car registration number is correct. Most insurers wont quote a premium without this.

Car Make & Model: *

Car manufacturer & model

Exact Model Type *

Car specification/trim type

Engine Size / CC *

Year Of Manufacture: *

Current Market Value: *

How much is the car currently worth?

Car Security *

Alarm, immobiliser or both fitted, and fitted as standard or added after purchase?

Is the vehicle fitted with an approved 'Tracker' system?: *

An approved tracker can help locate a vehicle in the event it's stolen.

How many seats are in the car?

No Of Seats: 1

If more than 7 then call us as most insurers won't class the vehicle as a car. The average car is a 5 seater.

Car Purchase Date: *//

When did you, or when are you looking to purchase the car?

Where is the car kept overnight?: *

Has the vehicle been modified from standard manufacture?: *

Any modifications to the car including upgraded optional extras should be declared.

Who is the owner of the car?: *

Is the owner also the registered keeper of the car?: *

Is the owners name on or will be on the registration documents via DVLA.

Step 3. Cover & Drivers

Please answer the below questions about required cover, drivers and No Claims Bonus entitlement.

What type of cover are you looking for? *

Third Party Only (TPO) = Covers liability for claims made by a third party as a result of accident. This cover excludes damage caused to own vehicle. Third Party Fire & Theft (TPF&T) = Covers the same as TPO but also includes cover cover for accidental fire and theft of the vehicle. This cover excludes other accidental damage to the vehicle. Comprehensive = The highest level of cover, includes everything under TPO & TPFT, but also includes any damage to your own vehicle, usually including windscreen damage.

Who will be allowed to drive the car?: *

If you choose the 'Any Driver' option please add details of at least 1 extra driver over the age limit. If you require a different driving option that those listed please contact us on 01288 353999.

How many year's 'No Claims Bonus' are available for this policy?: *

We will assume any No Claims Bonus earned has come from a UK motor policy. If from an EU country please call us.

What type of policy is your earned 'No Claims Bonus' coming from?: *

Do you wish to include 'Protected No Claims Bonus cover?: *

You pay extra for 'Protected NCB' but if you have an at fault claim it stops your earned No Claims Bonus from being reduced and your future insurance premiums rising heavily. How many claims you are allowed before affecting your NCB varies between insurers.

What is the postcode where the vehicle will be kept overnight?: *

N.B. We cannot insure cars kept in Northern Ireland.

Has any drivers received any NON motoring convictions, had an insurance policy ever cancelled or made void, refused or had restricted terms applied to their policy?: *

Are you happy for insurers to do basic credit checks & searches? This allows insurers to verify ID and prevent fraud and will provide a more accurate quotation?: (Full Consent Wording Below) *

Consent Wording - To ensure insurers & credit providers have the necessary facts to verify your identity, help prevent fraud & carry out risk profiling which allows them to calculate your premium & payment options, they may obtain information about you, any person names on the application & your home or vehicle from publicly available sources & trusted third parties when you ask for a quote, when preparing your renewal & sometimes if you change in order to offer you a monthly credit payment option. This may include a quotation search from a credit refewrnce agemncy (CRA). This will appear on your credit report & may be visible to other credit providers. It will be clear it is a quotation & not a credit application by you. You should be aware that insurers exchange information through various databases to help check information provided & to prevent fraudulent claims. For further information please give us a call on 01288 353999.

Need Assistance?

If you’re unsure with any questions or would prefer to speak with one of our advisors please give us a call on 01288 353999.

Opening Hours.

Mon-Fri: 9am – 5pm
Sat: 9am-12pm
Sun: Closed

Step 1. Car Details.

Step 2. Proposer Details.

Step 3. Cover & Drivers

Step 4. Additional Drivers.

Additional Driver 2 Details.

Additional Driver 3 Details.

Final Step. Contact Details & Previous Cover

Need Assistance?

Opening Hours.

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