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Request a Public Hire, Private Hire, Minibus or MPV Quote
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Title
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No. of Passengers licensed to carry
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Use
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Vehicle licence in Insured's name
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Vehicle Details
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Model eg. Mondeo
Specification e.g. LX TD, HDI
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yyyy
Date Purchased
dd/mm/yyyy
Where is vehicle kept
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Are you owner & registered keeper
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Fuel type
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Any modifications
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Modification details
Insurance Details
Cover required
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Comprehensive
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Policy Period Required
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Annual mileage covered
No. of years NCB for use on the policy
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0
1
2
3
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5
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NCB earned on
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dd/mm/yyyy
Target premium £
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Protected NCB required
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Is this a new venture
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Is there Wheelchair Access
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Yes
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No. vehicles insured for hire/reward
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1
2
3
4
5
6 or more
Public liability required
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No
£2m
£5m
£10m
No. of drivers, including yourself
1
2
3
4
5
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