Taxi insurance quotation

Fill out this form if you would like us to give a quote for your taxi insurance. When you've filled in as much as you can, send the form to us by clicking on the SEND FORM TO SR INSURANCES button.

Quote form

Please fill in as much information as you can - this helps us to find the very best deals for your taxi insurance.

Before filling out the form, please take a minute to read through our Terms and Conditions.

Your name and contact details
Forename:
Surname:
Address 1:
Address 2:
Town:
County:
Postcode:
Daytime telephone number:
Mobile Number:
E-mail address:

Your Taxi and its Use
Select the appropriate use:
Do you undertake contract work for any of the following? Select the one that you do the most work for:
What is your Licencing Authority?
What is your Plate Number?
What is your operating postcode?
What type of cover do you require?
What length of cover do you require?
Who will be driving the vehicle?
What No Claims Bonus entitlement (percentage) do you have? %
or what No Claims Bonus entitlement (years) do you have? years
Has this been earned on taxi/private hire or private car?

About your vehicle Make
Model - exact type (e.g Vectra 1.8 TD)
Body Style
Year first registered eg. 1999
Engine Capacity Enter cc of engine e.g 1800 NOT 1.8
Fuel Type
Number of Seats
Registration Number If unknown leave blank
How much is your vehicle worth? (£)
Year of Purchase e.g 1999
Where is the vehicle kept?

Proposer personal details Proposer date of birth
Sex
Marital Status
What year did you pass your driving test? eg. 1999
How many years have you held a taxi/private hire licence?
What is your badge number?
Are you a homeowner?
If more than one driver, what is the age of the youngest?
Who is your current insurer?
When does your current policy expire?
What is your best quote to date? £
Have you ever had any accidents, claims or convictions? If No, go to Additional Drivers or Additional Information

List here any accidents and claims in the last 3 years

Accident 1 Year e.g 2005
Your fault?

Accident 2
Your fault?

Accident 3
Your fault?

Accident 4
Your fault?

Accident 5
Your fault?

List here any convictions in the last 5 years

Conviction Number 1 Year e.g 2001
Type of conviction 1
Number of Points on licence for this conviction

Conviction Number 2 Year e.g 2002
Type of conviction 2
Number of Points on licence for this conviction

Conviction Number 3 Year e.g 2003
Type of conviction 3
Number of Points on licence for this conviction

Conviction Number 4 Year e.g 2004
Type of conviction 4
Number of Points on licence for this conviction

Conviction Number 5 Year e.g 2005
Type of conviction 5
Number of Points on licence for this conviction

Additional Driver 1 Name
Sex
Year of birth e.g 1975
Year obtained full UK licence e.g 2000
Have they had any accidents, claims or convictions?
If 'yes' please give relevant details (if totting up conviction then please list all that applied)

How many years has additional driver 1 held a taxi licence to drive?
What is their badge number?

Additional Driver 2 Name
Sex
Year of birth e.g 1975
Year obtained full UK licence e.g 2000
Have they had any accidents, claims or convictions?
If 'yes' please give relevant details (if totting up conviction then please list all that applied)

How many years has additional driver 2 held a taxi licence to drive?
What is their badge number?

Additional Information How did you hear about us?
Is there anything else you need to tell us about?

Other Insurance Do you require Public Liability Insurance?
(a separate price will be quoted for this cover)

Send your quote request

Back to Taxi Insurance

Sharpley & Regent Insurance Services Ltd.
38 Alexandra Road, LOWESTOFT, NR32 1PW
Tel: 0845 130 0202 (Calls charged at local rate)
Fax: 01502 532605

ã Sharpley & Regent Insurance Services Ltd. 1999 - 2004

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