Hi Stu
Please can you answer every question and then forward to [<u>prestige@taagl.com</u>](mailto:'prestige@taagl.com') so that we can provide a quotation for you on our specialist scheme.
**NAME OF ORGANISATION : z22se
Full name of policyholder (inc Mr/Mrs/Miss/Ms)
Home postcode **
**House name/number
Mobile number
Daytime number
Vehicle registration number
Make & full model of car
CC (e.g.1600cc)
Year of manufacture
Value of car
Who is Registered Keeper
Who is Registered Owner
Where vehicle kept overnight
Number of seats of vehicle
Date of purchase of car
Engine Immobiliser fitted
Modifications to the vehicle
Right Hand Drive or Left Hand Drive
Cover required (Comprehensive or TPFT)
Renewal date
Years NCB that is available to use on this policy
(NCB lapsed 2+ years ago and NCB earned as a named driver is not acceptable)
Protected bonus required if full NCB – yes or no
Who will be driving e.g. you only, insured & spouse, other**
**
Please answer for each driver –
Male or female
Date of birth
How long lived in UK
How long held a full UK licence
Occupation plus any part time jobs
Business nature of your job
Employed or self-employed
Marital status
Total miles per annum
Use of car – commuting or business use
If business use (if so, what specifically)
Homeowner
Any claims fault or non fault within 5 years
Please give circumstances including approx costs, which policy the claim was on and what happened
Any convictions within 5 years
Please give code (eg SP30), date of conviction, fine, ban**
Health issues (are DVLA aware? Any restrictions on your driving licence?)
**
Disabilities (are DVLA aware? Any restrictions on your driving licence?)
How many cars in family
Postcode where car kept overnight
Renewal quote
Total renewal excess (inc voluntary & compulsory)
Which insurer
Best quote
Total excess (inc voluntary & compulsory)
Which insurer**