Mini bus insurance – get a fast insurance quotation

Please complete the details below as fully as possible.

Proposer details

Client's name:

Email address:

Home address:

Postcode:

Date of birth: D: M: Y:

Home phone:

Base office name:

Base address:

Postcode:

Base phone:

Licencing authority:

Vehicle details

Make & model:

Engine cc:

Date purchased: D: M: Y:

Fuel type:  Petrol Diesel

Year of manufacture:

Value:

Annual mileage:

VPlated passengers:

Hours used per week for business:

What cover is required?:

Badge held since: D: M: Y:

Is vehicle subject to any HP in insured's name?  Yes No

Your history

Do you have a convictions history (within last 5 years):  Yes No

If you ticked yes, you must fill in the section below:

Date: D: M: Y:

Code:

Points (No):

Ban Mths:

Fine:

Do you have a claims history (within 5 years)?:  Yes No

Date: D: M: Y:

Details of loss:

Amount: