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Terms & Conditions

Crown and Cover

Home
About
Get a quote
Terms & Conditions

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Vehicle Registration *

Email *

Phone Number *

Does the vehicle have any modifications? *

Yes
No

Do you have the vehicle yet? *

Yes
No

Are you the owner and registered keeper of the vehicle? (or will you be) *

Yes
No

If your name is on the V5C ‘log book’ then you are the registered keeper.

How do you use the vehicle? *

Social
Social & commuting
Social, commuting and business use

How many personal miles does the vehicle do a year? *

Where is the vehicle kept during the day? *

Driveway
Office / factory carpark
On the street (near home)
On the street (not near home)
Other

Where is the vehicle kept during the night? *

Driveway
Office / factory carpark
On the street (near home)
On the street (not near home)
Other

Do you have any other cars? *

Yes
No

Name *

First

Last

Date of birth *

Gender *

Male
Female

Post Code *

Street name *

Door Number *

Are you a homeowner? *

Yes
No

Have you been a UK resident since birth? *

Yes
No

What is your marital status? *

Married / Civil partnership
Single
Living with partner
Divorced
Widowed

Job Title *

Number of cars in your household *

1
2
3
4
5
6+

Which kind of driving licence do you have? *

Provisional (UK only)
Full
Medically restricted
Other

Driving licence number? *

How many years have you held your current licence? *

service. terms

Have you had any motor accidents, claims or losses in the last five years? *

Yes
No

This is regardless of who/what was at fault or if a claim was made or not. If you don’t tell your insurer about previous accidents, claims or losses, your car insurance may not pay out if you make a claim.

Have you committed any driving offences or had any Fixed Penalty Notices in the last 5 years? *

Yes
No

If you don’t tell your insurer about previous offences, your car insurance may not pay out if you make a claim.

Would you like an additional driver? *

Yes
No

How many years of no claims discount do you have? *

When would you like your insurance to start? *

I agree to the terms and conditions to use this service. Please Note: By submitting this form, you acknowledge that there is a two-week wait time to receive your quote. For a faster response, feel free to message us directly on WhatsApp to receive your quote immediately. *

Yes

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