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Horsebox Trailer Cover Details

Your name:
Your address:

Postcode:
Date of Birth:	Occupation:


Make of Trailer	Model:
Year of Manufacture:
Date of purchase:	Serial No.
Address where trailer is kept if different from above.

Postcode:

Is this storage address: Your Home

Other:

Give Details:

Sums insured:
Market value of the trailer	Ł
Purchase price of trailer	Ł
General Questions	Yes	No
Is the trailer in a roadworthy condition and owned by you? (if "No" give details below)
Has any insurer ever refused you insurance, required special terms, cancelled or refused to renew your policy? (if "Yes" give details below)
Have you suffered any losses in connection with any of the covers proposed or has a trailer been stolen from where you store the trailer? (if "Yes" give details below)
Have you or your spouse ever been convicted, or charged (but not yet tried) or given a police caution in respect of any criminal offence? (if "Yes" give details below)
Will the trailer be let out for hire and reward? (if "Yes" give details below)
Will the trailer be used for business purposes purposes, or for any other use or purpose other that the carriage of your own horse? (if "Yes" give details below)
If you have answered "Yes" to any of these questions please provide full details here:

When would you like to start cover (no cover will be in force until you have requested cover and paid the premium or deposit)

TRAILERS WHILST LEFT UNATTENDED MUST BE FITTED WITH AN ADDITIONAL PROPRIETARY ANTI-THEFT WHEELCLAMP WHICH HAS BEEN SPECIFICALLY MANUFACTURED AND SOLD FOR THE PURPOSE OF PREVENTING THEFT. THE WHEELCLAMP SHOULD COVER AT LEAST ONE WHEEL NUT AND SURROUND PART OF THE TYRE. THE USE OF A "WHEELBAR" OR A "PADLOCK AND CHAIN" IS NOT DEEMED TO BE SUFFICIENT PROTECTION. PLEASE CONSULT US IF YOU ARE IN ANY DOUBT OVER THIS SECURITY REQUIREMENT

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