HGV/Truck - MSM Insurance

In whos name is the policy to policy to be issue

Company Name (if applicable)

Name

Telephone Number

Email Address

Vehicle Registration

Vehicle Make

Vehicle Model

Year of Manufacture

Body Type (Artic or rigid, with or without lifting gear/trailer

Security Device

Is the vehicle fitted with an approved digital tachograph, calibrated by an approved engineer?

Storage Address House Number/Building Name

Storage Postcode

Where is the vehicle kept

Value including all permanently fixed equipment but EXCLUDING trailers

Is the vehicle left hand drive

Annual Mileage

Owner of vehicle

Purchase Date

When would you like the policy to start

Main driver name

Main driver date of birth

Occupation (including business type)

Employed or Self Employed

Licence type

How many years licence held

Years resident in UK

Number of years experience on this vehicle type

Has the main driver had any claims, whether fault or non-fault

Does the main driver have any driving convictions

Does the main driver have disabilities notifiable to DVLA

If answered Yes to any of the above please provide details

Number of years tranferable no claims bonus (i.e. same vehicle type)

Any no claims discount of another vehicle

Driven by

HIghest value trailer towed

Is there a trailer to insure

Does the vehicletrailer have lifting equipment (excluding trail-lifts)

Is Sat Nav used

Are hazardous or dangerous goods carried

Numbers of vehicles owned and operated that require a valid operating licence

Number of months trading

Maximum distance of operation from base (in miles)

Operator Licence base postcode

Operator Licence Type

Do you hold a valid Operator Licence (required unless social, domestic and pleasure use only)

Cover Required

Usage required

HGV/Truck Quotation