Call Us on 0845 600 1300
or call 029 2062 9413

Quote Form

Request a Quotation

For a no-obligation personal quotation, please fill in the form below and submit your details. One of our experience advisers will calculate a quotation for you and contact you with details.

WE CAN ONLY PROVIDE INSURANCE FOR CLIENTS WHO ARE BASED IN WALES, ENGLAND OR SCOTLAND.

PLEASE NOTE: You cannot use this form for mid-term adjustments. No cover is in force until your premium has been paid and an advisor has confirmed cover.

If you would prefer for us to call you to discuss your requirements please complete our call back form.


About You  
Name
Address
Post Code
Email
Telephone
   

About Your Vehicle  
Registration Number
Make
Model
Exact model (i.e. LX, GL etc)
Engine Size
Year of manufacture
Transmission Type
Fuel Type
Number of doors
Value (£)
Date of purchase
Registered owner & keeper
Where is the vehicle kept overnight
Dual Controls Fitted
Modifications
   

About You  
Title
First name
Surname
Marital Status
Sex
Date of Birth
Occupation (including and part time work)
Date full licence was obtained
PDI or ADI qualified
If ADI, date registration was obtained
Main User
   
About Other Drivers  

Please note: Our policy automatically covers any driver aged over 25 years old for social, domestic and pleasure use. Provided that they have not had any accidents, claims or conictions.

Please use the section below to provide details of drivers who:

- Are a qualified instructors and give tuition in your vehicle.
- Are under 25 years old and use the vehicle for social, domestic and pleasure purposes
- Have any accidents, claims or convictions

Additional Driver 1  
Title
First name
Surname
Marital Status
Sex
Date of Birth
Occupation (including and part time work)
Date full licence was obtained
PDI or ADI qualified
If ADI, date reg. was obtained
Main User
   
Additional Driver 2  
Title
First name
Surname
Marital Status
Sex
Date of Birth
Occupation (including and part time work)
Date full licence was obtained
PDI or ADI qualified
If ADI, date reg. was obtained
Main User
   

Driving History  
It is important to let us know details of your insurance and driving history. For you or anyone that will use you vehicle have there been any of the following:
Accidents or Claims
Convictions
Disabilities
   
If you answered 'Yes' to any of the questions above, please provide further details below.
For all claims include date of incident(s), value of claim and circumstances.
For any convictions include: conviction code, date of conviction, fine and points.

About The Cover  
Cover type Comprehensive (we currently only offer this cover)
No. of years No Claim Bonus available to use on this vehicle
Protected N.C.B.
   
Renewal date
Present Insurer
Renewal Premium
Best Quotation
   
Additional covers & services  
Breakdown Cover required - more info
Excess Wavier Cover required
Replacement Vehicle following mechanical breakdown Cover required - more info
   
Would you like a quote for Home Insurance? Renewal Date
Do you have another car you would you like us to quote for? Renewal Date
   
Other information
   
 

Contact Details

Submit your details using this form or
call for a quote on 0845 600 1300

Opening Hours
Monday to Friday - 9am to 5:30pm
Saturday - 9am to 1pm

Other Contacts:
Email: insurance@instructorcoverplus.com
Address:
15 Penlline Road, Whitchurch, Cardiff, CF14 2AA
Fax: 029 2062 3912

Contact

Tel: 0845 600 1300 or 029 2062 9413
Claims: 0845 108 5371
Fax: 029 2062 3912
insurance@instructorcoverplus.com
15 Penlline Road, Whitchurch, Cardiff, CF14 2AA