About your Caravan

What kind of caravan is it?

Tourer T@B/Micro/Pop Top 5th Wheeler RV Folding Camper Folding Caravan Trailer Tent Other

How many axles does it have?

Single Twin Triple

When did you buy it?

Not bought yet

Which month in did you buy it?

Was it imported from outside the UK?

Yes No

About your Caravan use

How will it be used?

Holidays Business Let to public Permanent residence

Who will use it?

Proposer Family Friends

Have you completed any towing courses?

Yes No

About your Caravan security

Is it fitted with an alarm system?

Yes No

Is it fitted with a tracker?

Yes - proactive Yes - non-proactive No

Select any additional security or safety devices that are used

Axle wheel lock Wheel clamp Hitchlock Anti-snake device Locking corner steadies Tyron bands Tyre pressure monitoring Hitchpost

About your Caravan 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 address of the storage location?

Is your caravan permanently sited?

Yes No

Do you store your caravan at any other location when not in use?

Yes No

Where else 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 address of the storage location?

About your Caravan condition

Is your caravan in a good state of repair?

Yes No

Is your caravan serviced at least once every two years?

Yes No

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?

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 kind of student?

Mature Student - Living At Home Mature Student - Living Away Medical Student - Living At Home Medical Student - Living Away Post Graduate Student Living at Home Post Graduate Student Living Away from Home School Student Student - Living at Home Student - Living Away Student Counseller Student Nurse - Living At Home Student Nurse - Living Away Student Teacher - Living At Home Student Teacher - Living Away Undergraduate Student - Living At Home Undergraduate Student - Living Away from Home

What industry do you work in?

Have you ever been convicted of, or is any prosecution pending, for any criminal offence?

Yes No

Have you ever been convicted of a road offence, other than parking offences?

Yes No

Do you currently have more than 9 points on your driving licence?

Yes No

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

Yes No

Your cover

What type of cover do you want?

Market Value New for Old

When do you want your cover to start?

Do you require EU towing cover?

Yes No

Would you like to increase your public liability cover to £5 million?

Yes No

What's the current market value of your caravan?

How much would it cost to replace your caravan as new?

What's the value of any equipment to be covered?

What's the value of any personal effects to be covered?

What's the value of any awning to be covered?

How much additional excess would you be willing to pay to reduce your premium?

£0 £100 £200 £250 £500

Your claim-free discounts

How many years of claim-free caravanning do you have?

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

How many years of claim-free driving do you have?

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

Your claims history

Have you made any claims on a caravan insurance policy in the last 5 years?

Yes No

What type of incident was it?

Accident Theft Fire Flood damage Storm damage Malicious damage

When was the claim?

When was the claim?

How much was the claim for?

Have you had any other claims in the last 5 years?

Yes No

What type of incident was it?

Accident Theft Fire Flood damage Storm damage Malicious damage

When was the claim?

When was the claim?

How much was the claim for?

Have you had any other claims in the last 5 years?

Yes No

What type of incident was it?

Accident Theft Fire Flood damage Storm damage Malicious damage

When was the claim?

When was the claim?

How much was the claim for?

Your contact details

...and finally

  • The caravan hasn't been modified from the manufacturer's standard specification
  • You haven't had a caravan insurance policy declined, cancelled or refused by any insurer previously
  • You haven't had any previous County Court Judgments (CCJs)
  • You haven't entered into any previous Individual Voluntary Arrangements (IVAs) or a Protected Trust Deed
  • You haven't previously been declared bankrupt
  • You've answered all questions honestly to the best of your knowledge and belief
    •

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