Farm fleet insurance quote

Please enter all required fields marked *
Broker *
Your telephone *
Your email *
Current insurer *
Renewal date 
Deadline date 
Target (£) *
Do you own any motor vehicles other than those declared? *        
Has any vehicle been modified from the manufacturers standard specification? *        
Will any vehicle be kept at any address other than that shown above? *        
Are any vehicles not registered in your name? *        
Do you require driving to be restricted for any of the vehicles? *        
Will any driver under the age of 25 be the main user of any vehicles? *        
Will any vehicle be used for any purpose other than SD & P or farm/estate use? *        
Will any goods carrying vehicles be used for journeys in excess of a 100 miles radius of base? *        
Will any goods carrying vehicles be used for carriage of goods for hire or reward? *        
Will any agricultural vehicle be used for agricultural contracting/Tree Felling /Haulage? *        
If 'Yes' to any of the above, please provide full details 
£100 Fire, Theft, Malicious & Accidental damage excess applies to all vehicles in addition to any other terms applicable.
Make & model of vehicle YOM CC Value (£) Reg. Cover NCB Main User DOB
£100 Fire, Theft, Malicious & Accidental damage excess applies to all vehicles in addition to any other terms applicable.
Make & model of vehicle YOM GVW Value (£) Reg. Cover NCB
Excludes Third Party working risk. Includes £30,000 trailer implement cover when all vehicles are on comprehensive cover.
Make & model of vehicle YOM Value (£) Reg. / ID No. Cover NCB
Private Motor Vehicles 
Commercial Motor Vehicles 
Full name DOB Occupation Licence type Date of UK test
Have you or any person who may drive (inc. those detailed previously):
Been refused insurance or had a policy cancelled or ever special terms imposed?         
Suffered from any medical condition?         
If 'Yes' to any of the above, please provide full details
Name Details
Convictions within last 5 years or any prosecutions pending?         
Been disqualified from driving or had a licence suspended or revoked?         
If 'Yes' to any of the above, please provide full details
Name Date Code Period disqualified Circumstances
Had any accidents, claims or losses during the last three years fault or non fault?         
If 'Yes' to the above, please provide full details
Driver Date Circumstances Total costs
Additional Information