Special or Offline Caravan Insurance

We are sorry that we are not able to provide you with an online quotation, but we may still be able to help with our other, off-line facilities. If you would like us to look at your caravan insurance please complete the following form and send it to us and we will call or e-mail you back.

Enter your contact details below:

Your name:
Your E-Mail address:
Telephone Number:	(IMPORTANT: Please make sure you complete this, we may need to contact you if there is a query)
Your Correspondence Address:

Caravan Cover Details

Policyholder's name:
Policyholder's address:

Postcode:
Date of Birth:	Occupation:


Make of Caravan:	Model:
Note: We are sorry but Roma, Hobby, Lord Munsterland and Tabbert caravans are unacceptable
Year:	Serial number (pre-1992) or CRIS number. The CRIS number must be etched on all windows
Date of purchase:
Address kept if different from above:

Postcode:

Is this storage address: Your Home

Caravan Site

Caravan Storage Compound
Please state number of caravans stored:(If at your home, enter 0)

Other
Give Details:

If the caravan is not kept on your driveway, please provide details of the security arrangements:

Security Fencing
(Please state type & height):

Locked Gates

CCTV installed

Other Security arrangements: (The more you can tell us, the better)


Sums insured:
Caravan	£
Contents & Personal Effects	£
Awning	£
Total Sum Insured	£

General Questions	Yes	No
Have you had any accidents or losses during the last 3 years with any caravan owned, hired or used by you?
Has the storage location or fixed site ever been flooded, suffered theft losses or damage by vandals?
In respect of a motor vehicle or caravan owned by you, has any insurer declined to accept, cancelled or refused to renew or applied special terms to your policy?
Have you or your spouse been subject to any declaration of bankruptcy or been convicted of, or charged but not yet tried, of any offence other than driving?
Is the caravan occupied as a permanent residence?
Will the caravan be let out on hire?
Will the caravan ever be used for business purposes?
Is an alarm system of proprietary manufacture fitted to the caravan?
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)

Note:
When the caravan is left unattended whilst attached to the towing vehicle, it must be protected by a wheel clamp or hitch lock
When the caravan is left unattended whilst detached from the towing vehicle, it must be protected by a wheel clamp AND hitch lock

Please re-enter your e-mail address:

Thank you for completing this form, please click the Submit button and we will confirm cover and e-mail you. If you have selected to pay by cheque, we will confirm your quote and arrange cover when your cheque is received.