Horsebox Insurance Quote Request

Contact Details

Name:

Home Telephone:

Daytime or work Telephone:

Mobile Telephone:

E-mail (required):

Vehicle Details

Make:

Model:

Year of Registration:

Estimated Value:

£

Is the vehicle fitted with a Battery Isolator or Fuel Cut-Off device?

Yes - click:

This is a security device that many insurers require to be fitted to high-value vehicles

Gross vehicle weight:

Please state whether this in kilograms (kg), tons/tonnes(t) or hundredweight (cwt)?

Alarm/Immobiliser details:

None Thatcham Category 1 Thatcham Category 2 Other Pysical Security Tracking Device

Mileage

0 - 1500 miles 1501 - 3000 miles Unlimited Mileage

Number of Horses carried

1 2 3 4 5 6 7

Driving

The insured only to drive Insured and 1 other named driver Any Driver over 25 Any Driver over 30

Type of Use:

Carriage of Own Horses for pleasure use only. If you require Carriage of Livestock, or Hire & Reward, or Self-Drive Hire please contact our underwriting team on 08456 300 200  

Type of Cover:

Comprehensive Third Party Fire and Theft Third Party Only

Driver Details

Main Driver

Second Driver

Title:

Mr Mrs Miss Ms Dr

Title:

Mr Mrs Miss Ms Dr

Forename:

Forename:

Surname:

Surname:

Address:

Relationship:

Spouse Common law partner Parent Daughter/son Daughter-in-law/son-in-law Brother/sister Family Brother-in-law/sister-in-law Unrelated

Town:

County:

Post Code:

Post Code Where Kept (if Different):

  Licence:

Full Full (and passed Pass Plus test) Provisional H.G.V Public / Private Hire P.S.V International Other

Licence:

Full Full (and passed Pass Plus test) Provisional H.G.V Public / Private Hire P.S.V International Other

Licence date 

Licence date 

Marital status

Common law Divorced Married Partnered Separated Single Widowed Please select

Marital status

Common law Divorced Married Partnered Separated Single Widowed Please select

 Birthdate:

Birthdate:

Occupation:

Occupation:

Employer's Business:

Employer's Business:

Accidents, claims or losses in the past 5 years 

Date / Circumstances / Cost of Claim / Was No Claims Discount affected? 

Driver Main Second

Driver Main Second

Driver Main Second

Convictions in the past 5 years (but include any drink/drugs offences or other serious convictions up to 11 years ago)

Date / Offence Code / Points / Fine / Suspension period / Alcohol level (if appl)

Driver Main Second

Driver Main Second

Driver Main Second

Driver Main Second

Disabilities or infirmities (these should have been notified to DVLA, Swansea)

Please Specify, with details of duration & treatment & any restrictions on driving licence

Driver Main Second

Driver Main Second

Date cover required:

This should be within the next 30 days

Target Premium:

Please state your current premium, not what you hope for! 
This will help us quote the best premium possible.

Number of years claim-free driving

Please state: First horsebox insurance 1 year no claims bonus on a horsebox 2 years no claims bonus on a horsebox 3 years no claims bonus on a horsebox 4 years no claims bonus on a horsebox 5 years no claims bonus on a horsebox 6 years no claims bonus on a horsebox 7 years no claim bonus on a horsebox No previous horsebox insurance but 4+ years claim free driving

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