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Solutions by Coverage
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Corporate Relocation
Strategic Partnerships
Affinity Insurance
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Worldwide Car Insurance >
Borderless Physical Damage coverage
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Personal Insurance
>
Military Insurance
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UK Car Quote
UK Car Insurance Quote for Military
Step
1
of
5
20%
Personal
Name
(Required)
Dr.
Miss
Mr.
Mrs.
Ms.
Mx.
Prof.
Rev.
Prefix
First
Last
Email
(Required)
Date of Birth
(Required)
YYYY slash MM slash DD
APO Address
Company/Branch of Service
Occupation/Rank
(Required)
Squadron/Unit
UK Address
(Required)
UK Home/Mobile Phone Number
(Required)
Marital Status
(Required)
Please Select
Single
Married
Domestic Partner/Civil Union
Separated
Divorced
Widowed
Date Arrived in the UK
(Required)
YYYY slash MM slash DD
Length of Assignment in the UK (years)
(Required)
Expected Return Date
(Required)
YYYY slash MM slash DD
Driving License, Country/State, Date Original Issue
(Required)
Coverage
Please choose the level of cover you require:
(Required)
Comprehensive Coverage (Collision & Other than Collision)
Third Party Liability Only
Third Party Fire & Theft
Payment Option
(Required)
Annual (Paid in Full)
Monthly Installments
Cover Date
YYYY slash MM slash DD
How many miles do you expect to cover per year?
(Required)
Have you obtained alternative quotes elsewhere?
Yes
No
Vehicle
Vehicle Make
(Required)
Vehicle Model
(Required)
Year of Make
(Required)
Engine Size of Vehicle
(Required)
Number of Seats
(Required)
License Plate or Registration Number
Vehicle Identification Number (VIN)
Date Vehicle Purchased
(Required)
YYYY slash MM slash DD
Current Value
(Required)
Is the vehicle imported?
(Required)
Yes
No
Is the vehicle Left Hand Drive?
(Required)
Yes
No
Transmission Automatic/ Manual?
(Required)
Automatic
Manual
Petrol / Diesel / Electric Hybrid?
(Required)
Petrol
Disel
Electric Hybrid
Has the vehicle been modified from Factory Specification – Engine or Cosmetically?
(Required)
Yes
No
Where is the vehicle Parked Overnight?
(Required)
Garage
Locked Compound
Road
Will you use the vehicle for commuting?
Yes
No
History
Have you or any listed additional driver that will be named on this policy had any motoring violations/convictions or fixed penalty offences in the last 5 years?
(Required)
Yes
No
Have you or any listed additional driver received a driving offence that resulted in being banned from driving?
(Required)
Yes
No
Have you or any listed additional driver had any non-motoring convictions?
(Required)
Yes
No
Do you or any listed additional driver have a disability or medical condition that must be disclosed to the DVLA?
(Required)
Yes
No
Have you or any listed additional driver had an insurance policy refused/declined, cancelled/voided or any special terms imposed?
(Required)
Yes
No
Current or Previous Insurance Company
Country
Policy Expiration Date
MM slash DD slash YYYY
Number of Years Claim free
Additional Coverage
Would you like a quote for your Personal Property (Renter's Insurance)
Yes
No
Consent
(Required)
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