Ireland Car Insurance Quote

1Personal Details

2Vehicle Details

3Driver Details & History

Name(Required)

First Last

Email(Required)

Phone(Required)

Date of Birth(Required)

Month

Day

Year

Job Title(Required)

Company/Business Type(Required)

Employer(Required)

Employer Address(Required)

Street Address City State / Province / Region ZIP / Postal Code Country

Address in Ireland(Required)

Street Address City State / Province / Region Postal Code Country

Vehicle Details

Make(Required)

Model(Required)

Year(Required)

Fuel Type

Engine Size of Vehicle

Number of Seats

Date of Purchase(Required)

Month

Day

Year

Vehicle Registration Number(Required)

Country of Registration(Required)

Estimated Vehicle Value(Required)

Is the vehicle Left Hand Drive?

Yes

Has the vehicle been modified from Factory Specification - Engine or Cosmetically?

Yes

Is the vehicle imported?

Yes

How will the vehicle be used?(Required)

For business by you or anyone else

For carrying good

For commercial travelling or soliciting orders

For carrying passengers for any organization

For social / pleasure use only

For driving to one permanent place of work and social / pleasure use

Do you or your spouse own or have regular use of any other cars?

Yes

Driver Details & History

Licence Type(Required)

Country Issued(Required)

Date of Listed Driver's Licence Issue(Required)

Month

Day

Year

Are you the registered owner of the vehicle?(Required)

Yes

How long have you been living in Ireland?

Will you be the main driver of the vehicle?(Required)

Yes

Second Driver Information

Date of Birth(Required)

Month

Day

Year

Licence Type(Required)

Relation to Primary Driver(Required)

Occupation(Required)

Driver History

How long have you been driving?

Have you previously held insurance in your name?(Required)

Yes

Name of Previous Insurer(Required)

Expiration Date of Previous Policy(Required)

Month

Day

Year

Have you or any listed additional driver had an insurance policy refused/declined, cancelled/voided or any special terms imposed?(Required)

Yes

Have you or any listed additional drivers been convicted of or fined for any motoring offence except parking tickets in the last 10 year?(Required)

Yes

Were you entitled to any No Claims Discount?(Required)

Yes

Please be aware that you will need to provide proof of your driving experience from your previous insurer.

Which Country was No Claims Bonus earned?(Required)

How many years No Claims Discount earned?(Required)

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I agree to allow Clements Worldwide to store and process my personal data.(Required)

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Disclaimer: Clements Belgium SRL, trading as Clements Worldwide, is authorised and Regulated by the Financial Services and Markets Authority (FSMA) as an insurance broker at 8, Place Marcel Broodthaers, B-1060 Saint-Gilles under registration number 0721.902.110. . RPM/RPR : Brussels. Clements Belgium SRL is authorised and regulated by the Financial Conduct Authority under the UK Temporary Permissions Regime under registration number 838246. Clements Belgium is also regulated by the Central Bank of Ireland for conduct of business rules.