Quote form

Please fill in as much information as you can - this helps us to find the very best deals for your taxi insurance.

If you do not know an answer to a question please leave blank.

Before filling out the form, please take a minute to read through our Terms and Conditions.

Unfortunately we are unable to obtain quotes for cover in Northern Ireland.

  Your name and contact details  

Forename:
Surname:
Address 1:
Address 2:
Town:
County:
Postcode:
Daytime telephone number:
Mobile Number:
E-mail address:

  Your Taxi and its Use  

Select the appropriate use: Public Hire Private Hire Chauffeur Charity Minibus
Do you undertake contract work for any of the following? Select the one that you do the most work for: Social Services Education Business
What is your Licencing Authority?
What is your Plate Number?
What is your operating postcode?
What type of cover do you require? Comprehensive Third Party Fire and Theft Third Party only
What length of cover do you require? 12 months 6 months 3 months
Who will be driving the vehicle? Insured Only Insured and Named
What No Claims Bonus entitlement (percentage) do you have? %
or what No Claims Bonus entitlement (years) do you have? years
Has this been earned on taxi/private hire or private car?

  About your vehicle  

Make
Model - exact type (e.g Vectra 1.8 TD)
Body Style
Year first registered eg. 1999
Engine Capacity Enter cc of engine e.g 1800 NOT 1.8
Fuel Type
Number of Seats
Registration Number If unknown leave blank
How much is your vehicle worth? (£)
Year of Purchase e.g 1999
Where is the vehicle kept? garage driveway road

  Proposer personal details  

Proposer date of birth 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 January February March April May June July August September October November December 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990
Sex male female
Marital Status Married Single Married Commonlaw Divorced Estranged Widow Separated
What year did you pass your driving test? eg. 1999
How many years have you held a taxi/private hire licence?
What is your badge number?
Are you a homeowner? Yes No
If more than one driver, what is the age of the youngest?
Who is your current insurer?
When does your current policy expire? January February March April May June July August September October November December 2005 2006 2007 2008
What is your best quote to date? £
Have you ever had any accidents, claims or convictions? Yes No If No, go to Additional Drivers or Additional Information

  List here any accidents and claims in the last 3 years  

Accident 1 Year e.g 2005
Your fault? Yes No

Accident 2
Your fault? Yes No

Accident 3
Your fault? Yes No

Accident 4
Your fault? Yes No

Accident 5
Your fault? Yes No

  List here any convictions in the last 5 years  

Conviction Number 1 Year e.g 2001
Type of conviction 1 Speeding Careless Driving Dangerous Driving Drink and Drive Traffic Signs Violation Pelican Crossing Vehicle Violation No Insurance No Licence Motorway Provisional Licence Totting up
Number of Points on licence for this conviction

Conviction Number 2 Year e.g 2002
Type of conviction 2 Speeding Careless Driving Dangerous Driving Drink and Drive Traffic Signs Violation Pelican Crossing Vehicle Violation No Insurance No Licence Motorway Provisional Licence Totting up
Number of Points on licence for this conviction

Conviction Number 3 Year e.g 2003
Type of conviction 3 Speeding Careless Driving Dangerous Driving Drink and Drive Traffic Signs Violation Pelican Crossing Vehicle Violation No Insurance No Licence Motorway Provisional Licence Totting up
Number of Points on licence for this conviction

Conviction Number 4 Year e.g 2004
Type of conviction 4 Speeding Careless Driving Dangerous Driving Drink and Drive Traffic Signs Violation Pelican Crossing Vehicle Violation No Insurance No Licence Motorway Provisional Licence Totting up
Number of Points on licence for this conviction

Conviction Number 5 Year e.g 2005
Type of conviction 5 Speeding Careless Driving Dangerous Driving Drink and Drive Traffic Signs Violation Pelican Crossing Vehicle Violation No Insurance No Licence Motorway Provisional Licence Totting up
Number of Points on licence for this conviction

  Additional Driver 1  

Name
Sex male female
Year of birth e.g 1975
Year obtained full UK licence e.g 2000
Have they had any accidents, claims or convictions? Yes No
If 'yes' please give relevant details (if totting up conviction then please list all that applied)


How many years has additional driver 1 held a taxi licence to drive?
What is their badge number?

  Additional Driver 2  

Name
Sex male female
Year of birth e.g 1975
Year obtained full UK licence e.g 2000
Have they had any accidents, claims or convictions? Yes No
If 'yes' please give relevant details (if totting up conviction then please list all that applied)


How many years has additional driver 2 held a taxi licence to drive?
What is their badge number?

  Additional Information  

How did you hear about us?
Is there anything else you need to tell us about?

  Other Insurance  

Do you require Public Liability Insurance?
(a separate price will be quoted for this cover) Yes No

  Send your quote request  

www.taxipolicy.com is operated by SR Insurance Services, 38 Alexandra Road, Lowestoft, NR32 1PW

www.taxipolicy.com is a trading name of Sharpley & Regent Insurance Services Ltd.
Registered in England and Wales under company number 810630
Registered office: 38 Alexandra Road, Lowestoft, Suffolk, NR32 1PW

We are regulated by the Financial Services Authority (FSA) Membership No. 307215

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Taxi insurance - private hire, public hire, Hackney and Contract Hire

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