Minibus Quote

Personal details

Company Name*

Title*

First Name*

Surname*

Street / House Number*

Town*

County*

Postcode*

Telephone*

Email*

Renewal/Inception Date

You are using this form to submit your details to us. The data you provide will be retained to provide you with details of our insurance services. If at any time you want your data removed from our systems please let us know. Our privacy notice lets you know how we use your data and how to request removal.

I understand

About You (overwrite where appropriate)

First Name*

Surname*

Title*

Street / House Number*

Town*

County*

Postcode*

Telephone*

Email*

Date Of Birth*

Marital Status*

Occupation*

Employers Business*

Driving History

Type of Driving Licence*

Period Licence Held Since*

UK Resident From Birth*

If "No" Please Specify What Country and the date you became a UK Resident*

Use of any other Vehicles*

Driving Restrictions*

Any Medical Conditions*

Additional Drivers

Do you want additional Drivers to be Insured?*

Additional Driver Details

Relationship To Proposer*

Title*

First Name*

Surame*

Date Of Birth*

Marital Status*

Employment Status*

Occupation*

Employer's Business*

Any Medical Conditions*

Additional Driver Driving History

Type of Driving Licence*

Period Licence Held Since*

UK Resident From Birth*

If "No" Please Specify What Country and the date you became a UK Resident*

Use of any other Vehicles*

Claims And Accidents In Last 5 Years

Any Motor Claims or Accidents in the last 5 years*

Claim Details

Type*

Claim / Accident Date*

Circumstances*

Claim Cost*

Driver's Name*

Who Was At Fault*

Any Injuries*

Convictions In Last 5 years

Any Motor Convictions, Fixed Penalties or Disqualifications in the last 5 years*

Conviction Details

Driver's Name*

Offence Code (eg SP30)*

Offence Date*

Number Of Points (0 of none)*

Fine Amount (0 of none)*

Vehicle Details

Registration Number (if known)

Make*

Model*

Engine Size*

Number Of Doors*

Are All Seats Fully Seatbealted and Forward Facing:*

Transmission*

Year Of Make:*

Vehicle Value*

Right Hand Driver (UK Standard)*

Has The Vehicle been Modified/Adapted*

Cover Details

Estimated Total Annual Mileage*

Annual Business Mileage*

Purchase Date*

Overnight Parking*

Postcode Where Vehicle Is Kept Overnight (If Different From Main Address)*

Main Driver*

Is the Proposer the Registered Keeper?*

Vehicle Owner*

Use Of Vehicle*

Type Of Cover*

No Claims Discount / Bonus*

Cover Start Date*

Optional Extras (Available At Small Additional Cost)

Protected No Claims Discount/Bonus (Only Available On 4 Or More Years)*

Legal Expenses Cover*

Full UK Only Breakdown Cover*

Full UK & European Breakdown Cover*

Loss of Keys Cover*

Guaranteed Replacement Vehicle (This Is In Addition To The Standard Class A Courtesy Vehicle Provided By The Policy)*

Further Information*

How Would You Like To Be Contacted*

Best Quote You've Had:*

Current Insurer

Current Policy Number

How Did You Hear Of Us?*

020 8603 0940

Monday - Friday 9am - 5pm

Fantastic benefits and discounts for Morton Michel policyholders

Great reasons to insure with Morton Michel

Over 50 years’ experience in childcare insurance

Market leaders in childcare insurance

Easy to arrange insurance cover – online quotations available

No call centre, just personal and honest service

Helplines for tax, health, medical, domestic and counselling services 24 hrs a day, 365 days a year at no extra cost

Quick and efficient response to any queries and claims

Automatic entry to the Morton Michel ChildCare Club giving you and your staff access to exclusive benefits and discounts