BIBA (British Insurance Brokers Association) web-site Insurance products for UK residents

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Self drive hire insurance quotation form

NB This is most suitable for hirers of standard vehicles/ small vans and is rated on a 'pay as you hire' basis. At least one director must be 25 or over. Please note that there may be a delay between setting up a scheme and implementation of training in the online use. This product is offered on a non-advised basis.

Business Details

From (e-mail address)
We may send you information from time to time about insurance generally and special offers. If you do NOT want to receive it check and we'll only send details about this enquiry/policy.
Name of Company

Owners/Partners/Directors

Are you VAT registered (If more than 3 please contact us - we will still quote)
Company Number Business type (select all that apply using ctrl + click)

Are you a franchise?

Address
Name Date of Birth 1st Line address Postcode Length at address

Postcode Postcodes of other sites
Telephone no
Date Established Years trading from the main premises

Current Insurance

Inception/ Renewal Date Current Insurer
Cover required
Current rating basis
New quote to be on

Claims Details (leave blank and select N/A if a new business)

Claims in the last 5 years

Year

Vehicle Years Number of Claims Total Cost
Last Year To date £
Previous Year £
Year 3 £
Year 4 £
Year 5 £

Is this based on cover partly or entirely rated on hiring charges or rental days
Did your previous insurance include cover for vehicles not on hire

(If you are not sure, 'vehicle years' represents the the aggregate of the length of time each vehicle was available. e.g. a vehicle bought half way through the year would count as 0.5 vehicle years, a vehicle sold after 8 months would count as 0.67 vehicle years)


Current vehicle schedule

You MUST use the ABI 1- 50 car groupings NOT the 1-20

Click Here for groups

Are all vehicles owned or leased to you?

Type

No (Minimum Age) (Default Indemnity) Increased Level
Excess (CDW is available)
Private cars: ABI Groups 1-8 21 £30000   £650
Private Cars ABI Groups 9-16 21 £30000   £650
Private Cars ABI Groups 17-20 23 £30000   £800
Private Cars ABI Groups 21-24 23 £30000   £800
Private Cars ABI Groups 25-28 25 £30000   £800
Private Cars ABI Groups 29-33 25 £30000   £1250
Private Cars ABI Groups 34-37 30 £30000   £1250
Commercial up to 2500Kg 21 £10000 £650
Commercial 2501-3500Kg 23 £10000 £650
Commercial 3501-4500Kg 25 £10000 £800
Commercial 4501-7500Kg 25 £10000 £1250
Motorhomes up to 2500Kg 25 £10000 £650
Motorhomes 2501 - 3500Kg 25 £10000 £1250
Motorhomes 3501 - 4500Kg 30 £10000 £1250
Motorhomes 4501 - 7500Kg 30 £10000 £1250
IS ULR Wanted (cost 1%)


Please provide any changes you need to default values.

(If we can, we will quote for your requests, if not then as close as possible and tell you the differences)


About the Business

What experience of vetting customers prior to hire have your staff? (please contact us if more)

Name Age Position in Co Experience

Do you perform the following for ALL hirers and drivers

Obtain Photograpic evidence of drivers
Request Identification as well as driving licence
Establish intended use of the vehicle
Supply hirers on what to do in the event of an accident
Supply hirers with an accident form to complete
Are more than 5% of your hirers to foreign Nationals
 
Are more than 1% of your hirers to USA/ Canadian Nationals
 

What percentage of hires in the last 3 years have been on the hirer's own insurance?

Year Percentage
2009
2010
2011
Next year

How do you check the hirer's insurance is in force? 

if you have significantly altered the mix of vehicles in the last three years e.g. performance, value, body type or time to replace please give details.


Additional Questions

What percentage of vehicles are over 7 years old %
Is vehicle maintenance carried out in house or contracted out 
Is this done at the manufacturer's recommended intervals
Do you follow a procedure for reporting vehicle defects?
At what time or mileage do you replace vehicles?
Do you fit additional security, tracking or telematics

Do you have a procedure to demonstrate controls to drivers?
Are all of your vehicles UK registered?
What is the usual maximum distance from premises when vehicles are hired miles
Do you allow your vehicles to be taken overseas?
Do you allow non-UK residents to take vehicles abroad
Do you operate from an airport or seaport

Do you anticipate your vehicles may be used to carry hazardous goods or used in any hazardous locations such as a chemical works, power station or airport (airside)


You will not be able to hire to

Broadcaster - TV/Radio, Circus Proprietor, Circus Worker, Courier, Courier - Driver, Courier - Motorcycle, Courier - Parcel Delivery, Dance Teacher, Dancer, Dealer, Dealer - General, Dealer - Scrap/Waste, Diamond Dealer, Entertainer, Fairground Worker, Footballer, Hawker, Kissagram Person, Metal Dealer, Musician, Musician - Classical, Musician - Dance Band, Musician - Pop Group, Screen Writer, Sports Administrator - Other Sports, Sports Administrator - Ring Sports, Sports Coach, Sports Commentator, Sportsman, Sportswoman, Street Trader, Television Director, Television Presenter, Television Producer, Theatre Manager, Theatrical Agent, Vehicle Breaker, Vehicle Dismantler, Vehicle Salvage, Vehicle Waste Dealer.

The form is fully completed Submission of this form does not compel you to take out the policy nor us to provide a quotation. We may be able to cover higher rated vehicles or increase the indemnity limit. This policy only covers vehicles on Hire. A motor trade policy will be required in addition - we will be only too happy to provide a quote but you do not need a motor trade policy with us.

Note: Hit submit button once only

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