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Fleet Rated Quotation
If you already have a fleet rated policy, we will require a copy of the current schedule of vehicles and a copy of the current insurers' Claims Experience in order to obtain a quotation. These may be scanned & emailed or faxed to this office along with your company name, address, occupation, telephone number and contact name.
If this is a new venture, or if your vehicles have previously been individually insured, please complete the vehicle details below.
PLEASE NOTE THAT A MINIMUM OF FIVE WORKING DAYS WILL BE REQUIRED TO OBTAIN A COMPETETIVE QUOTATION.
Title
Mr
Mrs
Miss
Ms
Dr
Name
Trading Name
Address
Address 2
Address 3
Address 4
Postcode
Telephone
Email
Occupation/Trade
Years Trading
Cover required
Comprehensive
Third Party Fire & Theft
Third Party Only
Drivers
Any Driver
Any Driver Over 21
Any Driver Over 25
Named
Named driver details (if any)
eg. Name, age, date passed test
Convictions (if any)
eg. Name, Conviction code, disqualified (y/n), length of ban(yrs)
Vehicle Details
eg. Make & model, body type, GVW, Payload, Max load value
Ever been declared bankrupt or insolvent?
Please Select
Yes
No
Been convicted of any criminal offence, which is not 'Spent'?
Please Select
Yes
No
Had any County Court Judgements entered in the last six years?
Please Select
Yes
No
WestPennine Insurance Services Group is the trading name of WestPennine Insurance Consultants Limited. Registered Office 84 Church Street, Littleborough. OL15 8AU. Registered in England number 939318
Telephone 01706 378990 Fax 01706 371417
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