Click4Assistance UK Live Chat Software BASICS Scheme – Business Insurance Burnley | Commercial & Van Insurance Skipton & Burnley, UK

BASICS Scheme Members Insurance – get a fast insurance quotation

A Comprehensive Insurance Cover including Full Blue Light Business Use for BASICS Scheme Members Vehicles. Cover is also available for Portable Equipment, Nationwide Breakdown and Recovery Assistance and Public, Employees and Medical Liability.

Please complete the details below as fully as possible.

Proposer details

* Title:

* First names:

* Last name:

* Email address:

Date of birth: D: M: Y:

Address at which the vehicle is normally kept:


Daytime tel no:

Home tel no:

Trading name:

Medical liability: YesNo

Age of driver:

Do you have a convictions history (within last 5 years): YesNo

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

Date: D: M: Y:


Points (No):

Ban Mths:


Vehicle details

Full details of make and model:

Year of registration:

Fuel type: DieselPetrol

Transmission: ManualAutomatic

Modifications / further information:

Security measures, if any:

Additional driver details

Name of additional driver:

Date of birth: D: M: Y:

Cover & use

What cover is required?:

Voluntary excess required?: £100 Excess£150 Excess

Preferred amount:

With or without contents?: WithWithout

Value of contents:

Do you have a claims history (within 5 years)?: YesNo

Date: D: M: Y:

Details of loss:


Period of insurance:

Date insurance to commence:

By providing your email address, you are happy to allow contact from the advertiser about your query.