Cancelled Car Insurance Online

About Your Driving Experience

What type of driving licence do you hold?*

UK Full
Automatic Only
EU Licence
UK Provisional

When did you pass your driving test?*

When did you get your licence?*

Do you have any DVLA-reportable medical conditions or disabilities?*

Yes
No

Does the DVLA know about the medical condition or disability?*

Have you been involved in any motoring accidents, incidents or claims (regardless of fault) or suffered any type of loss in the last 5 years?*

Yes
No

Claim 1: What was the date of the claim / incident?*

Claim 1: What type of claim / incident was it?*

Claim 1: Please tell us the type of claim / incident?*

Claim 1: Who was said to be 'at fault' for the accident?*

I Was At Fault
The Other Driver
Both Drivers

Claim 1: Was a claim made against your insurance policy?*

Yes
No

Claim 1: Did the claim / incident affect your No Claims Discount?*

Yes
No

Do you want to add another claim / incident?*

Yes
No

Claim 2: What was the date of the claim / incident?*

Claim 2: What type of claim / incident was it?*

Claim 2: Please tell us the type of claim / incident?*

Claim 2: Who was said to be 'at fault' for the accident?*

I Was At Fault
The Other Driver
Both Drivers

Claim 2: Was a claim made against your insurance policy?*

Yes
No

Claim 2: Did the claim / incident affect your No Claims Discount?*

Yes
No

Do you want to add another claim / incident?*

Yes
No

Claim 3: What was the date of the claim / incident?*

Claim 3: What type of claim / incident was it?*

Claim 3: Please tell us the type of claim / incident?*

Claim 3: Who was said to be 'at fault' for the accident?*

I Was At Fault
The Other Driver
Both Drivers

Claim 3: Was a claim made against your insurance policy?*

Yes
No

Claim 3: Did the claim / incident affect your No Claims Discount?*

Yes
No

Do you want to add another claim / incident?*

Yes
No

Claim 4: What was the date of the claim / incident?*

Claim 4: What type of claim / incident was it?*

Claim 4: Please tell us the type of claim / incident?*

Claim 4: Who was said to be 'at fault' for the accident?*

I Was At Fault
The Other Driver
Both Drivers

Claim 4: Was a claim made against your insurance policy?*

Yes
No

Claim 4: Did the claim / incident affect your No Claims Discount?*

Yes
No

Have you received any driving related convictions, licence endorsements, fixed penalties or been disqualifications (banned) from driving in the past 5 years or still have pending action involving motoring offences?*

Yes
No

Offence 1: What date were you convicted of this offence?*

Offence 1: What offence code was placed on your licence?*

Offence 1: How many penalty points did you receive for this offence?*

Offence 1: Were you banned / disqualified from driving?*

Yes
No

Offence 1: How long were you banned / disqualified for?*

Do you want to add another motoring conviction / offence?*

Yes
No

Offence 2: What date were you convicted of this offence?*

Offence 2: What offence code was placed on your licence?*

Offence 2: How many penalty points did you receive for this offence?*

Offence 2: Were you banned / disqualified from driving?*

Yes
No

Offence 2: How long were you banned / disqualified for?*

Do you want to add another motoring conviction / offence?*

Yes
No

Offence 3: What date were you convicted of this offence?*

Offence 3: What offence code was placed on your licence?*

Offence 3: How many penalty points did you receive for this offence?*

Offence 3: Were you banned / disqualified from driving?*

Yes
No

Offence 3: How long were you banned / disqualified for?*

Do you want to add another motoring conviction / offence?*

Yes
No

Offence 4: What date were you convicted of this offence?*

Offence 4: What offence code was placed on your licence?*

Offence 4: How many penalty points did you receive for this offence?*

Offence 4: Were you banned / disqualified from driving?*

Yes
No

Offence 4: How long were you banned / disqualified for?*

Do you have any unspent criminal convictions?*

Yes
No

Policy Assist – Car Insurance Quote

About You

About Your Car

About Your Driving Experience

About Your Policy

About Your Additional Driver

About Their Driving Experience

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