Truck Insurance Questions

Please provide the following information so that you can be added to the insurance on the Club’s truck.

The data you provide is processed inline with the club’s privacy policy and will be used solely in relation to the club’s insurance policies. 

    Name:

    Your Email:

    What is your date of Birth?:

    What is your gender?:

    What is your occupation?:

    What is their marital status?:

    How long have they lived in the UK? (since birth or date):

    What type of driving licence do they hold? (e.g. Full UK, EU, International)

    How long have they held it for?:

    Have they had or caused any accidents, claims or damage, involving any motor vehicle, including windscreen or glass, in the last 3 years whether or not a claim was made and regardless of blame?

    If Yes, Please provide details:

    Have they had any motoring convictions, driving endorsements or fixed penalties, or been disqualified from driving in the last 5 years?

    If Yes, Please provide details:

    Do they had any pending prosecutions for any motoring offences?

    If Yes, Please provide details:

    Do they have any disabilities or medical conditions that the DVLA need to be made aware of?

    If Yes, Please provide details:

    Have they been refused insurance or had insurance voided or cancelled?

    If Yes, Please provide details:

    Do they have any non-motoring convictions which are not spent, or any pending prosecutions?

    If Yes, Please provide details: