Request a Quotation - Carter Insurance Services

First Name *

Middle Name *

Surname *

Married / Single

Email *

Address *

Postcode *

Years at Address

Homeowner

Telephone

Mobile *

Country of Birth

Date entered into UK

Licensing council *

Private Hire *

Public Hire *

Registered with UBER

Do you deliver Fast Food

Current Insurers *

Expiry date of Insurance *

Number of Years Taxi No Claims Bonus *

Is your no claims bonus currently Protected?

If no Taxi No Claims bonus, do you have Private Car No Claims bonus?

Can this be used? If so, how many years

Date of birth *

Date driving test passed (See reverse of your driving licence under section B/or B1) *

DVLA Driving Licence Number *

Date Taxi Badge Passed mm/yy *

Any accidents/claims/incidents/thefts in the last 5 years *

Any motoring convictions in the past 5 years *

Vehicle make *

Vehicle Model *

Vehicle cc *

Year first registered *

No. of seats *

Valuation *

Registration number *

Date purchased *

Is it imported *

Is the vehicle owned & registered in your name *

If No, who’s name is it registered in?

Is the vehicle licenced in your name *

Is the vehicle a rented/leased vehicle *

Where is the vehicle kept overnight? *

Miles per annum *

Current Premium/Quotes Obtained so far *