About your motorhome

What's the registration?

What kind of motorhome is it?

Coachbuilt Coachbuilt Low Profile A-Class Professional Conversion DIY Conversion T2/Bay Camper Van

What's the value of your motorhome?

When did you buy it?

Not bought yet

Which month?

How many seats with seatbelts?

2 3 4 5 6

Is it left or right-hand drive?

Left Right

How is it registered with the DVLA?

Van Motor caravan

Is it imported?

Yes No

Select any accessories that have been fitted

Air conditioning Awning Bike rack CD player DVD player Electric step Fitted audio equipment Flat screen television Generator Heating system Inverter Outside furniture Reversing camera Reversing sensors Roof rack Satellite navigation Satellite television Scooter rack SE pack Solar heating panels Spare wheels Sun canopy Television aerial Top box Trailer

Is it fitted with an approved alarm or immobiliser?

No alarm or immobiliser Cat 1 Alarm / Immobiliser Cat 2 Immobiliser

Is it fitted with a tracker?

Yes No

Select any additional security devices that are used

Wheel clamp Mule Chained Clutch claw Extra wheel clamp Handbrake lock Removeable steering wheel Steering lock

About your Motorhome use

Will the motorhome be used as your permanent home?

Yes No

What do you use the vehicle for?

Pleasure use only Travel to and from work Business use

What’s the estimated annual mileage for personal use?

1500 3000 5000 8000 10000 12000

What’s the estimated annual mileage for business use?

1500 2000 3000 4000 5000 6000

About your Motorhome storage

Where is it stored when not being used?

At my home address In a storage compound In a caravan park On a farm Other

Where do you keep it at your home address?

At home in a locked garage At home on the driveway At home on the driveway with a barrier At home in a residential car park At home on the road

What type of storage compound is it?

A CaSSOA registered site A non-CaSSOA registered site

What type of caravan park is it?

A registered caravan park A non-registered caravan park A registered caravan park (seasonal pitch) A non-registered caravan park (seasonal pitch)

What type of farm is it?

A working farm A non-working farm

What's the other location?

Business premises A residential address HM Forces base Other location not listed

What's the postcode of the storage location?

About you

What's your name?

How old are you?

40

When's your birthday?

When's your birthday?

Have you been a UK resident since birth?

Yes No

Since when have you lived in the UK?

Since when have you lived in the UK?

What’s your relationship status?

Married Single Living with my partner Separated Divorced Widowed

What's your home postcode?

Do you own this home?

I own this home I rent this property I neither own nor rent

What do you do for a living?

I'm employed I'm self-employed I'm retired I'm a student I'm unemployed I'm a houseperson

What's your occupation?

What industry do you work in?

Do you do any other work?

Yes No

What's your other occupation?

What industry is your other work in?

Are you a member of a recognised camping or caravan club?

Yes No

What type of driving licence do you have?

Full UK licence Full EU licence Full international licence Provisional licence

When did you obtain your licence?

When did you obtain your licence?

How many years experience do you have driving a motorhome?

Do you have the use of any other vehicles?

No access to other vehicles I own another car or van I'm a named driver on another vehicle I have a company car that includes social use I have a company car for business use only

What's the total number of vehicles in the household?

1 2 3+

About this claim

What type of incident was it?

Accident Theft Windscreen/Glass only Fire Flood damage Storm damage Malicious damage

When was the claim?

When was the claim?

Was the claim made on this vehicle?

Yes No

Were you at fault?

Yes No

About this conviction

What's the offence code?

What was the conviction date or offence date?

What was the conviction date or offence date?

How many penalty points were given for this offence?

1 2 3 4 5 6 7 8 9 10 11 12

If there was a ban, how long was it for (in months)?

Drivers, Claims, and Convictions

Your cover

When do you want your cover to start?

Your claim-free discounts

How many years’ No Claims Discount have you earned on a motorhome insurance policy?

None 1 2 3 4 5 6 7 8 9 10+

How many years’ No Claims Discount have you earned on another vehicle?

None 1 2 3 4 5 6 7 8 9 10+

Your contact details

...and finally

  • You or any other driver have not been convicted of any criminal offence that is not now spent under the Rehabilitation of Offenders Act 1974.
  • You or any other driver have not previously had an insurance policy cancelled or refused or had special terms imposed.
  • You are (or will be) the legal owner and registered keeper of the vehicle.
  • Where you have stated that you have earned No Claims Discount on another vehicle, this has been earned on a private car or commercial vehicle.
  • Where you have stated that you have earned No Claims Discount on a motorhome or camper van, this was earned in the UK on a policy that expired less than 2 years ago.
    •

    About this driver

    What's their name?

    How old are they?

    40

    When's their birthday?

    When's their birthday?

    Have they been a UK resident since birth?

    Yes No

    Since when have they lived in the UK?

    Since when have they lived in the UK?

    What do they do for a living?

    They're employed They're self-employed They're retired They're a student They're unemployed They're a houseperson

    What's their occupation?

    What industry do they work in?

    Do they do any other work?

    Yes No

    What's their other occupation?

    What industry is their other work in?

    Are they a member of a recognised camping or caravan club?

    Yes No

    What type of driving licence do they have?

    Full UK licence Full EU licence Full international licence Provisional licence

    When did they obtain their licence?

    When did they obtain their licence?

    About this claim

    What type of incident was it?

    Accident Theft Windscreen/Glass only Fire Flood damage Storm damage Malicious damage

    When was the claim?

    When was the claim?

    Was the claim made on this vehicle?

    Yes No

    Were they at fault?

    Yes No

    About this conviction

    What's the offence code?

    What was the conviction date or offence date?

    What was the conviction date or offence date?

    How many penalty points were given for this offence?

    1 2 3 4 5 6 7 8 9 10 11 12

    If there was a ban, how long was it for (in months)?

    Question not found

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