ABOUT
YOU : |
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Company Name: |
Number of Years Trading: |
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Business/Trade: |
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Company
Address: |
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Contact Name: |
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Contact
Telephone: |
Mobile
Number: |
Fax
Number: |
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| Email
Address: |
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do you wish us to contact you? |
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ABOUT YOUR FLEET:
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Are your vehicles currently insured as a fleet? |
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| Cover
required from / Renewal Date (dd/mm/yy): |
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| Current Insurer : |
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| Current Premium : |
£
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| Best
Quote Obtained: |
£
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| Number of Vehicles: |
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| Cover Required: |
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| Driving Requirements : |
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| How many of your drivers are 20 years of age and under? |
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| How many of your drivers are between 21 & 24 years of age? |
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| How many of your drivers are between 25 & 29 years of age? |
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| Do you use agency, temporary or casual drivers? |
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DRIVER MANAGEMENT:
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For each new driver who will drive on your business, do you: |
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Have an application form completed? |
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Take a copy of their driving licence? |
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Obtain details of any previous motoring accidents or convictions? |
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Has anyone who will be driving the vehicles obtained any motoring convictions / endorsements on their licence. If so, please specify. |
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©2010 Fleet Quote Direct. All rights reserved. W E Bedford Insurance Services (Wimbledon) Ltd, 267-269 Kingston Road, Wimbledon, London, SW19 3FW is authorised and regulated by the Financial Services Authority. Our FSA Register number is 305737 |
