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Registration Number: Help

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Vehicle Make?

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Vehicle Model?

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Engine Size?

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Year of make?

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Transmission?

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Fuel Type?

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Number of seats?

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Is your vehicle a right hand drive (UK standard)?

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Is your vehicle an import? Help

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Please enter if your vehicle is imported.

Has your vehicle been modified in any way from the standard factory model? Help

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Please answer if your vehicle has been modified from the standard factory model.

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What type of alarms and/or immobilisers do you have?

Please select if you have any additional security (alarms/immobilisers) fitted to your vehicle.

What type of tracker do you have?

Please answer if your vehicle has a tracker fitted.

How much is your vehicle worth?

Please enter the value of your vehicle in £s (the value must be over £150).

Have you purchased this vehicle?

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Please select if you own the vehicle.

When did you purchase this vehicle? Help

This date cannot be in the future.

Are you or will you be the legal owner of this vehicle? Help

Yes No

Please select who will be the legal owner of the vehicle.

The owner of the vehicle

Please select who will be the legal owner of the vehicle.

Are you or will you be the registered keeper of this vehicle? Help

Yes No

Please select who will be the registered keeper of the vehicle.

Are you a registered Uber Partner Driver? Help

Yes No

Please enter if you are a registered Uber partner.

In order for us to be able to place your insurance we require your consent to share your insurance data with UBER. Please tick the box to agree.

Yes No

We are required to share your data with UBER in order to validate the information provided. Without consent to do so we are unable to provide a quotation at this time.

What is your Uber star rating?

New Uber partner or

Please enter your Uber star rating.

What cover period do you require?

Please enter your required cover period.

Does this vehicle have a Dashcam fitted?

Please enter whether you have a Dashcam fitted.

What will you be using your vehicle for?

Please select what use you need for this vehicle.

Who is your licencing authority?

Please select your licencing authority.

Total miles you will drive in a year? Help

Please enter a value greater than 0.

Total business miles you will drive in a year? Help

Please enter a value greater than 1500.

Where will your vehicle be kept at night?

Please select where you vehicle will be kept overnight.

Monday - Friday	08:30 - 20:00
Saturday	09:00 - 16:00
Sunday	Closed

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