Quotation Request

Quote for 30 Day Taxi Insurance

Driver Details
Driving History
Additional Driver
Additional Driver History
Vehicle Use and Policy Cover
Previous Experience
Your Vehicle
Granite Finance
Declaration
Agent Notepad
Calculated Fields

Driver Details

Please enter your gender
Name
Address
Driver Post Code Area
DriverPostCodeArea
What is your Contact Telephone Number
Please enter your email address


What is your date of birth?
Please indicate your marital status
Operating Post Code
This is the postcode of the taxi firm for which you work
This is the first section of the postcode for example, N1 or E15
Invalid Operating Postcode Area

Please update the postcode above to a valid Postcode Area

What type of licence do you hold?
Licence Number
How many full years have you held this licence ?
How many years have you held a Taxi Badge?
Please Choose Your Licensing Authority
Are you the main user of the vehicle ?
Drivers Required

Driving History and Experience

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Have you been convicted of any motoring offence during the last 5 years or is any prosecution pending ?
Please give details of Motoring Offences
Conviction CodePointsFineBan (Months)Date of OffenceDate of Conviction
Add row
Have you ever been disqualified from driving or had your licence suspended or revoked ?
Have you ever been convicted and/or prosecution pending for a criminal offence ?
Have you ever had a motor vehicle insurance policy cancelled or refused or ever had special terms imposed ?
Do you have any medical condition which is notifiable to DVLA as deemed in their leaflet D100 ?
If the answer to any of these questions is YES, please give details below
Have you ever been involved in any accident or claim, irrespective of blame, for loss by fire or theft in the pas five years?
Please give details of any Accidents / Claims
Date of AccidentCost of your DamagesCost of Third Party DamageAccident Type
Add row
Total Score for all Offences (HIDDEN)
£
Total Score for all Claims (HIDDEN)
£
At least one question above was answered Yes (HIDDEN)

Additional Driver Details

Forenames(s)
Surname
Address
Date of Birth
Marital Status
Type of License
Driving Licence Number
How many full years have they held this license?
How many years have they held a Taxi Badge
Please Choose Licensing Authority
Are you the main user of the vehicle?

Additional Driver History and Experience

Have you or any person who to your knowledge will drive ;
a) been convicted of any motoring offence during the last 5 years or is any prosecution pending ?
Please give details of Motoring Offences
Conviction CodePointsFineBan (Months)Date of ConvictionOffence Date
Add row
b) ever been disqualified from driving or had a licence suspended or revoked (other than those declared above) ?
c) ever been convicted and/or prosecution pending of a criminal offence ?
d) ever had a motor vehicle insurance policy cancelled or refused or ever had special terms imposed ?
e) have any medical condition which is notifiable to DVLA as deemed in their leaflet D100 ?
If the answer to any of these questions is YES, please give details below
f) in the last 5 years been involved in any accident or claims, irrespective of blame, or loss by fire or theft ?
Please give details of any Accidents / Claims
DateCost of Own DamagesCost of TP DamageBrief Details (including details of any persons injured in an accident)Incident Type
Add row
Total Score for all Offences (Additional) (HIDDEN)
£
Total Score for all Claims (Additional) (HIDDEN)
£
At least one question above was answered Yes (HIDDEN)

Vehicle Use and Policy Cover

When would you like the policy cover to start?
at
Period of Cover Required
Period of Cover Required

Previous Experience

How was NCB Earned
Please Note : Only NCB Earned on Taxi will be Discounted
Name of Previous Insurer
Enter Previous Insurer Name
Previous Policy Number
Enter Previous Policy Number
Is No Claims bonus Protection Required ?
Previous Insurer
Previous Policy No.
Reduce Excess from £500 to £350 ?

Vehicle Details

Please enter your vehicles registration number below and click OK
What is the vehicles body type?
When did you purchase the vehicle?
What is the value of your vehicle?
Vehicle Engine CC
Has the vehicle been imported?
What is the date of first registration?
Where is Vehicle Kept when not in use?
Does your vehicle have any security?
Vehicle Age In Years (HIDDEN)

Granite Finance

Is Granite Premium Finance Required?

Please upload account details & Granite Finance calculator via case notes, email to [email protected] or fax to 0844 482 4496

Declaration

(Details not included in Rating Calculations)

Enter Details to be used for Future Reference

Calculated Fields

Operating Postcode Area
Proposer Age
HRPropAge
Additional Driver Age
HRAddDrivAge
Youngest Driver Age
Youngest Driver Licence Type
YoungestDriverLicenceHeld
YoungestDriverTaxiHeld
Base Rate
£
BaseRateDriver
£
UK Licence Number
Offence Score
Claims Score
Minimum Premium from Lookup
£
Agent ref
Vehicle Value Check
NCB Value Check
Vehicle Use
Licensing Authority Value
Forename
Is This a Valid Quote Area
Excess
vehicle use ssp translate
Vehicle Doors
Vehicle Transmission
Vehicle Fuel
Risk Code
Frequency Code
Report Header
SSP Agent Ref
SSP Finance Agent Ref
Middleware Agent Ref
Breakdown Scheme
Breakdown Scheme Cost
£
DVLA Year
Import Year
Proposer Title for SSP Extract
NCB Earned for SSP Extract
Driving restrictions for SSP Extract Proposer
Proposer occupation for SSP Extract
Proposer Licensing Authority for SSP Extract
Proposer 1st Claim Type for SSP Extract
Vehicle Body Type for SSP Extract
Proposer Medical Condition
Additional Driver Medical Condition
Driving restrictions for Additional Driver SSP Extract
Additional Driver Occupation for SSP Extract
Additional Licensing Authority for SSP Extract
Proposer Driving in UK since in Years SSP Extract
Additional Driving in UK since Year SSP Extract
Comission (for SSP)
%
Proposer Driving Years Number
Additional Driver Years Number
Current Month
Current Day
Proposer Licence Date
Additional Driver Licence Date
Proposer Taxi Badge Date
Proposer Badge Year
Proposer Taxi Year Number
Additional Driver Taxi Year
Additional Driver Taxi Year Number
Additional Driver Taxi Badge Date
Number of Current Month
Day of Month Number
Expiry Month
Cover for Report
DVLA Seats
DVLA Vehicle Type
where Kept for SSP
Proposer Licence Type for SSP
Additional Driver Licence Type for SSP Extract
Minimum Premium Driver
MinimumPremiumFromLookupDriver
£
Minimum Premium Operating
MinimumPremiumFromLookupOperating
£
Operating Post Code 2
OperatingPostCode2
SSP seats
SSP seats
New Postcode
HR_PostcodeNew
Postcode New (Add Driver)
HRAddPostcodeNew
Postcode without space
HR_Postspace
Add Driver Address Line 1
HRAddDrivAddressLine1
Add Driver Address Line 2
HRAddDrivAddressLine2
Add Driver Town City
HRAddDrivTownCity
Add Driver County
HRAddDrivCounty
Add Driver Postcode
HRAddDrivPostcode
Registration for Refer
HRReg
HR_Refer_List
HR_Refer_List
HR_Refer_List_1
HR_Refer_List_1
Protected NCB for SSP Extract
Home Postcode Area Proposer
HRHomePostcodeAreaProp
Home: Is this a valid quote area?
HRQuoteAreaHome
Home Postcode Area Additional
HRHomePostcodeAreaAdditional
Home: is this a valid quote area?
HRQuoteAreaHomeAdditional
SSP Agent Ref for Reports
SSPAgentRef
Home NCB Value
HomeNCBValue
Add to Haven Referral List?
Referral List Reason