Chauffeur Insurance

12%

Are you a licensed taxi or private hire driver?
If Yes. please state licensing authority*
If 'No' please state your occupation*
Please enter, wedding car, chauffeur driver, etc
What type of cover do you need?
Who will be driving?
Proposers date of birth (dd/mm/yyyy)*
Date proposer obtained full UK driving licence (dd/mm/yyyy)*
Date proposer obtained taxi badge (dd/mm/yyyy)*
Spouse's full name*
Named drivers full name*
Named drivers date of birth*
Date spouse obtained full UK driving licence (dd/mm/yyyy)*
Date named driver obtained full UK driving licence (dd/mm/yyyy)*

Conviction Details
Has any driver had any motoring convictions including fixed penalty points in the last 5 years
If any driver has had any motoring convictions including fixed penalty points in the last 5 years, please provide full details*
Please supply conviction codes, dates, penalty points, fines and length of ban (if applicable)

Do you need private hire insurance or public hire?
Private hire: pre-booked journeys only. Public hire: Hackney Carriage vehicles may ply for hire and pick up fares.
Has the vehicle been converted for wheelchair access?
What type of vehicle is it?
How many passengers is the vehicle licensed to carry (excluding the driver)?
Please provide full make and model details of your vehicle*
Please ensure full details are supplied. For example Toyota Avensis T3 D4D or Peugeot E7
Engine Size (cc)*
Vehicle value
Date purchased (dd/mm/yyyy)
Estimated Annual Mileage?
What year was your vehicle made?
Vehicle registration number
How is the vehicle kept overnight?

Any other information
Your insurance is based upon the information provided to the insurance company and you must ensure that all such information is complete and accurate and that any facts that may influence the insurer's decision to accept and pay a valid claim are disclosed. Failure to disclose material information may invalidate your insurance and could mean that all of part of a claim may not be paid.
I have read and understood your terms of business.
I have read and amended the above form where necessary and all answers are correct to the best of my knowledge and belief *
- I Agree

Claims and Accidents