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Courier Insurance Quotes

For UK Customers Only

Please insert your details here and one of our courier insurance advisers will contact you with a quotation shortly.

Courier insurance is designed for individuals or companies wishing to insure their vehicle for use on the road in connection with their business. Please note that we can only provide quotations for renewal or start dates within the next 30 days.

If you have any problems completing this form, please phone us on 01623 641 386 for assistance.

Proposers/Company Details

Proposers First Name:
Proposers Surname:
Business / Trade use of the vehicle:
Business Address:  Help?
Business Postcode:  Help?
Daytime Telephone No.  Help?
E-mail Address:  Help?
Date Cover Required: (dd/mm/yyyy)  Help?

Courier Vehicle Details

Type/Category of Vehicle:  Help?
Vehicle Make (i.e. Ford, VW, etc.):  Help?
Vehicle Model (i.e. Transit, Transporter, etc.):  Help?
Vehicle Type (i.e. tdi, 190, 400, etc.):  Help?
Gross Vehicle Weight (kg):  Help?
Vehicle Engine Size (c.c.):  Help?
Registration Number (if available):  Help?
Year Made:  Help?
Value of the Vehicle (£s):  Help?
Additional Details
Who is the registered owner of the vehicle?  Help?
Who is the registered keeper of the vehicle?  Help?
Number of seats in the vehicle:
Fuel type:
Postcode where vehicle is kept overnight:
(if different from the business address)
Where is vehicle parked overnight?
Annual mileage driven in the vehicle:
Has the vehicle been imported?Yes     No  Help?
If yes, please provide details
of where the vehicle was imported from:
Details of immobiliser / alarm:  Help?
Type of goods carried:  Help?
Is the vehicle modified?Yes     No  Help?
If yes, please provide details of the modifications:
Is the vehicle Left Hand Drive?Yes     No  Help?
Details of use of the vehicle:

Cover & Driving Details

Cover
Type of cover required:  Help?
Total excess amount:
(lower premiums for a higher excess)
 Help?
Number of years No Claims Bonus:  Help?
Type of policy No Claims Bonus earned under:
Is Protected No Claims Bonus required?
(only available if you have at least 4 years no claims bonus)
Yes     No  Help?
Further Details
Any non-motoring convictions?Yes     No  Help?
If yes, please provide details:
(name of person, date(s) of convictions,
any fine, any custodial sentence, etc.)
Driving Details
Who will drive the vehicle?
Policy Type
Is the policy to be in a company name?Yes     No  Help?
If yes, please confirm the name of the company:

Proposers / Main Drivers Details

Proposers / Main Drivers Details
Status:
First name:
Surname:
Occupation:
Employment status:
Date of birth: (dd/mm/yyyy)
Driving status:
Marital status:
Number of years resident in the UK?
Type of licence:  Help?
Number of years licence held:  Help?
Does the proposer also own a car?Yes     No
If yes, please state number of years
no claims discount on the car policy:
Please advise if there have been any accidents
or claims in the last five years (regardless of fault)?
Yes     No  Help?
If yes, please provide details:
Please advise if there have been
any motoring convictions or offences?
Yes     No  Help?
If yes, please provide details:
Please advise if there are any disabilities?Yes     No  Help?
If yes, please provide details:

Additional Drivers
Do you wish to add another driver?Yes     No

Details Of Driver 2
Status:
First Name:
Surname:
Their Primary Occupation:
Their Employers Business:
Employment status:
Date of birth: (dd/mm/yyyy)
Driving status:
Marital status:
How long have they lived in the UK:
Type of licence:
How long have they held their licence? years
Relationship to Proposer:
Has this driver had any accidents or claims in the last five years?
(regardless of fault)
Yes     No  Help?
If yes, please provide details:
Has this driver ever been convicted of any motor offence?Yes     No  Help?
If yes, please provide details:
Does this driver have any disabilities?Yes     No  Help?
If yes, please provide details:

Additional Drivers
Do you wish to add another driver?Yes     No

Details Of Driver 3
Status:
First Name:
Surname:
Their Primary Occupation:
Their Employers Business:
Employment status:
Date of birth: (dd/mm/yyyy)
Driving status:
Marital status:
How long have they lived in the UK:
Type of licence:
How long have they held their licence? years
Relationship to Proposer:
Has this driver had any accidents or claims in the last five years?
(regardless of fault)
Yes     No  Help?
If yes, please provide details:
Has this driver ever been convicted of any motor offence?Yes     No  Help?
If yes, please provide details:
Does this driver have any disabilities?Yes     No  Help?
If yes, please provide details:

Request Courier Insurance Quote

Disclosure
Please ensure that all the information you have provided is correct and that you have answered all the questions accurately then press the Request Courier Insurance Quote button to send your quotation details to us.