To receive a quotation for Taxi Insurance, please fill in the form below or call our hotline on
01603 482882.
We regret that we can only quote for UK residents.
PLEASE NOTE: Fields marked '
*
' are required.
ABOUT YOU
Name
*
Address
*
Post Code
*
Daytime Telephone
*
Name of Local Licensing Authority
*
Local Authority Licence held for how long?
*
Years
Email Address
*
CAR
Make
(e.g. Ford, BMW)
*
Model
(e.g. Focus LX , 318i)
*
Engine CC
*
Year Manufactured
*
Value
*
Is the vehicle garaged overnight?
*
Yes
No
DRIVERS
*
Insured Only
Insured and Spouse
Insured and Named
MAIN DRIVER
Sex
*
Male
Female
Age
*
Are you Married?
*
Yes
No
Are you a Home Owner?
*
Yes
No
Type of current licence held
*
Full
Provisional
Period current licence held
*
Occupation
*
Employed
Self-Employed
Choose Taxi Hire Type
*
Public Hire
Private Hire
Do you or does any person have defective vision or hearing, diabetes or any physical or mental infirmity or fits of any kind?
*
Yes
No
If YES, please give details
Have there been any accidents, damage, fire of theft losses during the past 3 years?
*
Yes
No
If YES, please give details.
NOTE:
Any loss should be disclosed whether or not a claim was submitted to the Insurer concerned.
Have you or any person who will drive been convicted during the past 5 years of any offence in connection with any motor vehicle?
*
Yes
No
If YES, please give details (e.g. conviction(s) endorsement offence code, date, fine, and period of disqualification's(if any))
Resident in UK for 3 Years or more?
*
Yes
No
YOUNGEST ADDITIONAL DRIVER
Sex
Male
Female
Age
Type of current licence held
Full
Provisional
Period current licence held
Occupation
Employed
Self-Employed
Choose Taxi Hire Type
Public Hire
Private Hire
Do you or does any person have defective vision or hearing, diabetes or any physical or mental infirmity or fits of any kind?
Yes
No
If YES, please give details
Have there been any accidents, damage, fire of theft losses during the past 3 years?
Yes
No
If YES, please give details.
NOTE:
Any loss should be disclosed whether or not a claim was submitted to the Insurer concerned.
Have you or any person who will drive been convicted during the past 5 years of any offence in connection with any motor vehicle?
Yes
No
If YES, please give details (e.g. conviction(s) endorsement offence code, date, fine, and period of disqualification's(if any))
Resident in UK for 3 Years or more?
Yes
No
COVER
Type
*
Comprehensive
Third Party Fire & Theft
Third Party Only
Voluntary Excess
£50
£100
Other
USE
*
Social/Domestic
Class 1
Taxi No Claims Discount(Years)
Protect No Claims?
Yes
No
Private No Claims Discount(Years)
*
Additional Cars?
Yes
No
If YES, how many
Current Renewal Quotation (£)
Quoted by Which Insurer?
The Insurance Centre | 8 - 10 Cromer Road | Norwich | Norfolk | NR6 6ND
Tel: 01603 400755
|
Email:
enquiries
@insurance-centre.com