Skip to content
Careers
Search
Clements
Insurance Solutions
Personal Insurance
Solutions by Coverage
International Car Insurance
Personal Property Insurance
Health Insurance
Life Insurance
Disability Insurance
Personal Accident Insurance
Travel Insurance
US Home Insurance
US Pet Insurance
US Umbrella Liability Insurance
US Federal Employee Professional Liability Insurance
Solutions by Sector
Foreign Service Insurance
Military Abroad
Educators & Teachers
High Net Worth Insurance
Business Insurance
Solutions by Coverage
DBA Insurance
Vehicle Fleet Insurance
Group Health Insurance
Scholars Group Health Insurance
Group Personal Accident Insurance
Business Interruption & Property Insurance
Group Disability Insurance
Group Life Insurance
Combined Liability Insurance
Cyber Insurance
Cargo & Transit
Directors & Officers Insurance
Errors & Omissions Insurance
Kidnap & Ransom Insurance
Political Violence Insurance
Student Travel Insurance
Solutions by Industry
International Schools
Nonprofits & NGOs
Contractors
Strategic Partnerships
Affinity Insurance
Voluntary Employee Benefits
Agents & Brokers
Military Insurance >
Customizable international car and personal property insurance
International Schools >
Protection for educational institutions & their staff
Policy Center
Policy Renewal
Policy Update
Policy Cancellation
Claims & Requests
Resources
About Us
Careers
Social Responsibility
Our Leadership
Testimonials
Contact
Get A Quote
To search this site, enter a search term
Insurance Solutions
Personal Insurance
Solutions by Coverage
International Car Insurance
Personal Property Insurance
Health Insurance
Life Insurance
Disability Insurance
Personal Accident Insurance
Travel Insurance
US Home Insurance
US Pet Insurance
US Umbrella Liability Insurance
US Federal Employee Professional Liability Insurance
Solutions by Sector
Foreign Service Insurance
Military Abroad
Educators & Teachers
High Net Worth Insurance
Business Insurance
Solutions by Coverage
DBA Insurance
Vehicle Fleet Insurance
Group Health Insurance
Scholars Group Health Insurance
Group Personal Accident Insurance
Business Interruption & Property Insurance
Group Disability Insurance
Group Life Insurance
Combined Liability Insurance
Cyber Insurance
Cargo & Transit
Directors & Officers Insurance
Errors & Omissions Insurance
Kidnap & Ransom Insurance
Political Violence Insurance
Student Travel Insurance
Solutions by Industry
International Schools
Nonprofits & NGOs
Contractors
Strategic Partnerships
Affinity Insurance
Voluntary Employee Benefits
Agents & Brokers
Military Insurance >
Customizable international car and personal property insurance
International Schools >
Protection for educational institutions & their staff
Policy Center
Policy Renewal
Policy Update
Policy Cancellation
Claims & Requests
Resources
About Us
Careers
Social Responsibility
Our Leadership
Testimonials
Contact
Get A Quote
Careers
Search
UK Car Insurance Quote for Ukrainian Refugees
1
Personal Details
2
Vehicle Details
3
Driver(s) Details
4
Driver(s) History
5
Coverage Options
Name
(Required)
Title
Dr.
Miss
Mr.
Mrs.
Ms.
Prof.
Other
Title
First
Last
Email
(Required)
Phone
(Required)
Date of Birth
(Required)
Month
Day
Year
Occupation (Job)
(Required)
Business
Employment Status
(Required)
Address in the UK
(Required)
Street Address
City
State / Province / Region
Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Vehicle Details
Make
(Required)
Model
(Required)
Year
(Required)
Fuel Type
Please Select
Gasoline
Diesel
Electric
Engine Size of Vehicle
Number of Seats
Date of Purchase
(Required)
Month
Day
Year
Estimated Vehicle Value
(Required)
Please Select
$5,000
$10,000
$15,000
$20,000
$25,000
$30,000
$35,000
$40,000
$45,000
$50,000
$55,000
$60,000
$65,000
$70,000
$75,000
$80,000
$85,000
$90,000
$95,000
$100,000
$110,000
$120,000
$130,000
$140,000
$150,000
$160,000
$170,000
$180,000
$190,000
$200,000
$210,000
$220,000
$240,000
$250,000
$260,000
$270,000
$280,000
$290,000
$300,000
Country of Registration
(Required)
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Swaziland)
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Réunion
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Vehicle Registration Number
(Required)
Vehicle Kept
(Required)
Is the vehicle Left Hand Drive?
Yes
No
Is the vehicle imported?
Yes
No
Has the vehicle been modified from Factory Specification - Engine or Cosmetically?
Yes
No
Annual Mileage
How will the vehicle be used?
For driving to one permanent place of work and social / pleasure use
For social / pleasure use only
For business by you or anyone else
For carrying goods
For commercial travelling or soliciting orders
For carrying passengers for any organization
Annual Mileage - Business
Who Will drive the Vehicle?
(Required)
Insured Only
Insured + Named Driver(s)
Do you or your spouse own or have regular use of any other cars?
Yes
No
Who purchased the vehicle (Owner)?
(Required)
Who is the registered keeper of the vehicle (Keeper)?
(Required)
Driver Details
Marital Status
(Required)
How long have you been living in the UK?
Please Select
0 years
1-2 years
2-3 years
3-4 years
5+ years
Licence Type
(Required)
Please Select
Full Irish Licence
Provisional Irish Licence
International Licence
EU Licence
Date of Listed Driver's Licence Issue
(Required)
Month
Day
Year
Are you the registered owner of the vehicle?
(Required)
Yes
No
Driving Status
(Required)
Main
Frequent
Casual
How long have you been driving?
Please Select
1-5 years
5-10 years
10-15 years
15-20 years
20+ years
Second Driver Information
Name
Title
Dr.
Miss
Mr.
Mrs.
Ms.
Prof.
Other
Title
First
Last
Date of Birth
Month
Day
Year
Occupation
Business
Employment Status
Licence Type
Please Select
Full Licence
UK Licence
International Licence
EU Licence
Marital Status
How long have driver been living in the UK?
Please Select
0 years
1-2 years
2-3 years
3-4 years
5+ years
How long have you been driving?
Please Select
1-5 years
5-10 years
10-15 years
15-20 years
20+ years
Driver(s) History
Have you previously held insurance in your name?
(Required)
Yes
No
How long have you held insurance for?
(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
No
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
No
Have you or any listed additional drivers been convicted of or fined for any offence?
(Required)
Yes
No
Were you entitled to any No Claims Discount?
(Required)
Yes
No
Which Country was No Claims Bonus earned?
(Required)
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Swaziland)
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Réunion
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
How many years No Claims Discount earned?
(Required)
Can you provide (Letter) from previous cover confirming claim free driving?
(Required)
Needed Coverage Information
What level of cover do you need?
(Required)
Comprehensive
Third Party Fire & Theft
Third Part Only
When do you require the insurance to start
(Required)
MM slash DD slash YYYY
Clements Worldwide is committed to protecting and respecting your privacy, and we’ll only use your personal information to administer your account and to provide the products and services you requested from us. From time to time, we would like to contact you about our products and services, as well as other content that may be of interest to you. If you consent to us contacting you for this purpose, please tick below to say how you would like us to contact you:
Consent
I agree to receive other communications from Clements Worldwide.
In order to provide you the content requested, we need to store and process your personal data. If you consent to us storing your personal data for this purpose, please tick the checkbox below. Please note your information will be passed onto our Irish Partner Easytrip Insurance Ltd. who will be providing you with a quotation.
Consent
(Required)
I agree to allow Clements Worldwide to store and process my personal data.
(Required)
You can unsubscribe from these communications at any time. For more information on how to unsubscribe, our privacy practices, and how we are committed to protecting and respecting your privacy, please review our
Privacy Policy
.
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.