Plan Insurance Quote

20%

Step 2 of 6 - Add Driver(s)

Tell us about the driver(s) you want to insure

Driver 1 - Main driver (you)

Title*
- Mr
- Mrs
- Miss
- Ms
- Dr
Name* First Last
- Any secondary occupation?*
  - Yes
  - No
- What is the secondary occupation?*
Date of Birth*
How long have you been a UK resident?*
- Since Birth
- 5 years +
- Less than 5 years
Date permanent residence of the UK obtained*
Years held a full UK driving licence?*
- 1
- 2
- 3
- 4
- 5+
Do you have any motoring convictions in the last 5 years?*
Including disqualifications, prosecutions pending, police enquiries outstanding and fixed penalty offences.
- Yes
- No
- Driver 1 - Conviction 1
  Conviction code*
  Including convictions, endorsements, fixed penalties, bans or points in the last 5 years? This list shows the most common.
- Date of conviction *
  Please tell us the date of conviction
- Penalty points*
  Please tell us the number of penalty points
- Length of ban*
  Select the duration of any ban
- Any more convictions?*
  - Yes
  - No
- - Driver 1 - Conviction 2
    Conviction code*
    Including convictions, endorsements, fixed penalties, bans or points in the last 5 years? This list shows the most common.
  - Date of conviction *
    Please tell us the date of conviction
  - Penalty points*
    Please tell us the number of penalty points
  - Length of ban*
    Select the duration of any ban
  - Any more convictions?*
    - Yes
    - No
  - - Driver 1 - Conviction 3
      Conviction code*
      Including convictions, endorsements, fixed penalties, bans or points in the last 5 years? This list shows the most common.
      Date of conviction *
      Please tell us the date of conviction
    - Penalty points*
      Please tell us the number of penalty points
    - Length of ban*
      Select the duration of any ban
    - Any more convictions?*
      - Yes
      - No
    - - Driver 1 - Conviction 4
        Conviction code*
        Including convictions, endorsements, fixed penalties, bans or points in the last 5 years? This list shows the most common.
      - Date of conviction *
        Please tell us the date of conviction
      - Penalty points*
        Please tell us the number of penalty points
      - Length of ban*
        Select the duration of any ban
      - You have reached the limit for number of convictions. If this driver has any more convictions than those already disclosed we are unable to offer a quote.
Have you had any incidents, accidents, fires, thefts, malicious damage claims, or glass claims, whether fault, non-fault or pending, however minor in the last 5 years?*
- Yes
- No
- Driver 1 - Claim 1
  Claim Type*
  Please select the description that best matches the circumstances of the incident.
- Date*
- Claim costs*
  If known please let us know the estimated claims costs
  - No cost
  - less than £1K
  - £1K - £3K
  - £3k - £5K
  - £5k - £10K
  - £10K+
- Any more claims?*
  - Yes
  - No
  - Driver 1 - Claim 2
    Claim Type*
    Please select the description that best matches the circumstances of the incident.
  - Date*
  - Claim costs*
    If known please let us know the estimated claims costs
    - No cost
    - less than £1K
    - £1K - £3K
    - £3k - £5K
    - £5k - £10K
    - £10K+
  - Any more claims?*
    - Yes
    - No
    - Driver 1 - Claim 3
      Claim Type*
      Please select the description that best matches the circumstances of the incident.
    - Date*
    - Claim costs*
      If known please let us know the estimated claims costs
      - No cost
      - less than £1K
      - £1K - £3K
      - £3k - £5K
      - £5k - £10K
      - £10K+
    - You have reached the limit for number of claims. If this driver has any more claims than those already disclosed we are unable to offer a quote.
Do you have any pending or served criminal convictions?*
This is not referring to motoring offences
- Yes
- No
Please provide as much information as possible about the criminal conviction(s)*
Details might include: date, offence code, fine, sentencing
Do you suffer from any disability or medical condition?*
This includes disabilities or medical conditions which have not been notified to the DVLA or which have been notified but resulted in the refusal of a driving licence.
- Yes
- No
Please provide as much information as possible about the disabilities or medical condition(s).*
Do you need to add another driver to this policy?*
- Yes
- No
Driver 2
- Title*
  - Mr
  - Mrs
  - Miss
  - Ms
  - Dr
- Name* First Last
- Relationship*
  Who are we adding to drive?
  - Spouse
  - Business Partner
  - Employee
- - Any secondary occupation?*
    - Yes
    - No
  - What is the secondary occupation?*
- Is motor trade business use required?*
  - Yes
  - No
  - Any secondary occupation?*
    - Yes
    - No
  - What is the secondary occupation?*
  - What's your spouse's occupation?*
  Is social use required?*
  - Yes
  - No
- - Please provide your business partner's address*
    Type the postcode or street to find the premises address and we'll look up the address automatically
  - Address*
    Street Address
    Address Line 2 Town / City
    County
    Postcode
  - Any secondary occupation?*
    - Yes
    - No
  - What is the secondary occupation?*
- Is social use required?*
  - Yes
  - No
  - Any secondary occupation?*
    - Yes
    - No
  - What is the secondary occupation?*
- Date of Birth*
- How long has this driver been a UK resident?*
  - Since Birth
  - 5 years +
  - Less than 5 years
- Date permanent residence of the UK obtained*
- Years held a full UK driving licence?*
  - 1
  - 2
  - 3
  - 4
  - 5+
- Does this driver have any motoring convictions in the last 5 years?*
  Including disqualifications, prosecutions pending, police enquiries outstanding and fixed penalty offences.
  - Yes
  - No
  - Driver 2 - Conviction 1
    Conviction code*
    Including convictions, endorsements, fixed penalties, bans or points in the last 5 years? This list shows the most common.
  - Date of conviction *
    Please tell us the date of conviction
  - Penalty points*
    Please tell us the number of penalty points
  - Length of ban*
    Select the duration of any ban
  - Any more convictions?*
    - Yes
    - No
  - - Driver 2 - Conviction 2
      Conviction code*
      Including convictions, endorsements, fixed penalties, bans or points in the last 5 years? This list shows the most common.
    - Date of conviction *
      Please tell us the date of conviction
    - Penalty points*
      Please tell us the number of penalty points
    - Length of ban*
      Select the duration of any ban
    - Any more convictions?*
      - Yes
      - No
    - - Driver 2 - Conviction 3
        Conviction code*
        Including convictions, endorsements, fixed penalties, bans or points in the last 5 years? This list shows the most common.
        Date of conviction *
        Please tell us the date of conviction
      - Penalty points*
        Please tell us the number of penalty points
      - Length of ban*
        Select the duration of any ban
      - Any more convictions?*
        
        Yes
        
        No
      - Driver 2 - Conviction 4
        Conviction code*
        Including convictions, endorsements, fixed penalties, bans or points in the last 5 years? This list shows the most common.
        
        Date of conviction *
        Please tell us the date of conviction
        
        Penalty points*
        Please tell us the number of penalty points
        
        Length of ban*
        Select the duration of any ban
        
        You have reached the limit for number of convictions. If this driver has any more convictions than those already disclosed we are unable to offer a quote.
- Have you had any incidents, accidents, fires, thefts, malicious damage claims, or glass claims, whether fault, non-fault or pending, however minor in the last 5 years?*
  - Yes
  - No
  - Driver 2 - Claim 1
    Claim Type*
    Please select the description that best matches the circumstances of the incident.
  - Date*
  - Claim costs*
    If known please let us know the estimated claims costs
    - No cost
    - less than £1K
    - £1K - £3K
    - £3k - £5K
    - £5k - £10K
    - £10K+
  - Any more claims?*
    - Yes
    - No
    - Driver 2 - Claim 2
      Claim Type*
      Please select the description that best matches the circumstances of the incident.
    - Date*
    - Claim costs*
      If known please let us know the estimated claims costs
      - No cost
      - less than £1K
      - £1K - £3K
      - £3k - £5K
      - £5k - £10K
      - £10K+
    - Any more claims?*
      - Yes
      - No
      - Driver 2 - Claim 3
        Claim Type*
        Please select the description that best matches the circumstances of the incident.
      - Date*
      - Claim costs*
        If known please let us know the estimated claims costs
        
        No cost
        
        less than £1K
        
        £1K - £3K
        
        £3k - £5K
        
        £5k - £10K
        
        £10K+
      - You have reached the limit for number of claims. If this driver has any more claims than those already disclosed we are unable to offer a quote.
- Does the driver have any pending or served criminal convictions?*
  This is not referring to motoring offences
  - Yes
  - No
- Please provide as much information as possible about the criminal conviction(s)*
  Details might include: date, offence code, fine, sentencing
- Does this driver suffer from any disability or medical condition?*
  This includes disabilities or medical conditions which have not been notified to the DVLA or which have been notified but resulted in the refusal of a driving licence.
  - Yes
  - No
- Please provide as much information as possible about the disabilities or medical condition(s).*

80%

Step 5 of 6 - Contact Information

Contact email address*
Mobile phone number*
Landline number
I agree I am happy to receive other marketing material by email and SMS including the Plan Insurance Brokers newsletter (you can opt-out of these messages at any time)*
- I agree
- I do not agree
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Need assistance?

0800 542 2741 Call Me Now

Step 1 of 6 - General information

Step 2 of 6 - Add Driver(s)

Driver 1 - Main driver (you)

Driver 1 - Conviction 1

Driver 1 - Conviction 2

Driver 1 - Conviction 3

Driver 1 - Conviction 4

Driver 1 - Claim 1

Driver 1 - Claim 2

Driver 1 - Claim 3

Driver 2

Driver 2 - Conviction 1

Driver 2 - Conviction 2

Driver 2 - Conviction 3

Driver 2 - Conviction 4

Driver 2 - Claim 1

Driver 2 - Claim 2

Driver 2 - Claim 3

Step 3 of 5 - Vehicles Traded

Step 4 of 6 - Motorcycle Cover

Step 4 of 5 - Declarations

Step 5 of 6 - Contact Information

Need assistance?