Helpline: 0345 092 0705

Quotation Request

Acorn Direct Motor Trade

Business Details
Business Activities
Risk details
Driver 1/ Insured
Driver 2
Driver 3
Driver 4
Driver 5
Vehicles
Extensions
Calculated Fields

Business Details

New or Existing Business Venture
What is the Registered Company name ?
Main Contact Name
Name
Names Titles
Forename
Surname
Partners Name
First Partner Address
2nd Partners name
Second Partner Address
3rd Partners name
Third Partner Address
Trading As ( If no additional trading name, enter the policy holders name )
What date was the company established?
Is the company VAT registered ?
Trading Address
Please enter clients residential address
Type of Premises
Please advise what Security measures are in place ?
Do you require cover for vehicles at the premise?

Please Note: Cover is not available for TPO risks

What is the total maximum value (£) at the premises at any one time?
Client Mobile Number
Client Email address

Business Activities

How long has the proposer been trading ?
Turnover split
Please select your motor trade activities. (Click the + button to add multiple activities.)
Motor trade occupation Turnover percentage
Add row
Please Describe Other :
Specialising In
Is the proposer(s) a full time motor trader ?
What is the main occupation ?
Occupation
Add row
Do you require cover for this occupation ?

Risk details

Cover start date.
at
Own vehicle limit (£)
Do you require cover for customer vehicles?
Customer vehicle indemnity limit (£)
How many years No Claims Bonus received ?
Type of NCB
Do you require protected No Claims Bonus?
Protection is available at 1 year or more, subject to no fault claims in the last 12 month'

Do you require cover for:

Vehicles in Excess of 3.5 Ton ?
Sports/ High performance vehicles ?
Do you own, or likely to own, any Private Car vehicle over 3000cc ?
Do you work on Private Cars with an engine over 3000cc ?
Do you handle Imported Vehicles that do not have a UK equivalent specification ?
Vehicles manufactured in USA or Canada ?
How many vehicles of this type handled per year ?
Do you handle vehicles with 8 seats or more ?
Motor Homes, Caravanetts, Quad Bikes, Three Wheeled Vehicles or Kit Cars ?
Please give details.
Do you have any trade plates ?
Enter trade plate number(s) below

Driver 1/ Insured

Relationship
Name
Date of birth
Residency in the UK?
How long has Licence been held ?
Usage Required

Please Note: All employees requiring usage that includes pleasure will be referred to our underwriters for approval.

Have you had any driving convictions in the last three years ?
Convictions
Conviction CodePointsFineDate of ConvictionLength of Ban (in months)
Add row
Have you had any claims in the last 3 years ?
Claims
Date of ClaimDetailsCostStatus
Add row
Any Medical Conditions (Notifiable to DVLA) ?
Please give details of medical conditions
Any Criminal Convictions (including pending) ?

Please note: Only considered if 12 months clear from date of conviction/end of sentence.

Please give details of criminal convictions
Have you been Disqualified from Driving ?
Please give details of disqualification/revocation
Have you ever had insurance, refused, cancelled, declined or had any special terms imposed?
Please give details

Driver 2

Relationship to proposer
Named Driver 2 Occupation
How many hours a week does the driver work for the proposer ?
Title
Forename
Surname
Date of birth
Licence Type
How long has Licence been held ?
Usage Required

Please Note: All employees requiring usage that includes pleasure will be referred to our underwriters for approval.

Have you had any driving convictions in the last three years ?
Convictions
Conviction Code PointsFineDate of ConvictionLength of Ban
Add row
Has the driver had any claims in the last 3 years ?
Claims
Date of Claim DetailsCost Status
Add row
Any Medical conditions (Notifiable to DVLA)
Please give details of medical conditions
Any criminal convictions (including pending) ?

Please note: Only considered if 12 months clear from date of conviction/end of sentence.

Please give details of convictions
Have you been Disqualified from Driving ?
Length of Ban ?
Please give details of disqualification/revocation.
Have you ever had insurance, refused, cancelled, declined or had any special terms imposed?
Please give details

Driver 3

Relationship to proposer
Named Driver 3 Occupation
How many hours a week does the driver work for the proposer ?
Title
Forename
Surname
Date of birth
Licence Type
How long has Licence been held ?
Usage Required

Please Note: All employees requiring usage that includes pleasure will be referred to our underwriters for approval.

Have you had any driving convictions in the last three years ?
Convictions
Conviction Code PointsFineDate of ConvictionLength of Ban
Add row
Has the driver had any claims in the last 3 years ?
Claims
Date of ClaimDetailsCostStatus
Add row
Any Medical conditions (Notifiable to DVLA)
Please give details of medical conditions.
Any criminal convictions (including pending) ?

Please note: Only considered if 12 months clear from date of conviction/end of sentence.

Please give details of criminal convictions.
Have you been Disqualified from Driving ?
Length of Ban ?
Please give details of disqualification/revocation.
Have you ever had insurance, refused, cancelled, declined or had any special terms imposed?
Please give details

Driver 4

Relationship to proposer
Named Driver 4 Occupation ?
How many hours a week does the driver work for the proposer ?
Title
Forename
Surname
Date of birth
Licence Type
How long has Licence been held ?
Usage Required

Please Note: All employees requiring usage that includes pleasure will be referred to our underwriters for approval.

Have you had any driving convictions in the last three years ?
Convictions
Conviction CodePointsFineDate of Conviction Length of Ban
Add row
Has the driver had any claims in the last 3 Years ?
Claims
Date of ClaimDetailsCostStatus
Add row
Any Medical conditions (Notifiable to DVLA)
Please give deatils of medical conditions.
Any criminal conviction (including pending) ?

Please note: Only considered if 12 months clear from date of conviction/end of sentence.

Please give details of criminal convictions
Have you been Disqualified from Driving ?
Length of Ban ?
Please give details of disqualification/revocation.
Have you ever had insurance, refused, cancelled, declined or had any special terms imposed?
Please give details

Driver 5

Relationship to proposer
Named Driver 5 Occupation ?
How many hours a week does the driver work for the proposer ?
Title
Forename
Surname
Date of birth
Licence Type
How long has Licence been held ?
Usage Required

Please Note: All employees requiring usage that includes pleasure will be referred to our underwriters for approval.

Have you had any driving convictions in the last three years ?
Convictions
Conviction CodePointsFineDate of ConvictionLength of Ban
Add row
Has the driver had any claims in the last 3 Years ?
Claims
Date of ClaimDetailsCostStatus
Add row
Any Medical conditions (Notifiable to DVLA)
Please give details of medical conditions.
Any criminal convictions (including pending) ?

Please note: Only considered if 12 months clear from date of conviction/end of sentence.

Please give details of criminal convictions
Have you been Disqualified from Driving ?
Length of Ban ?
Please give details of disqualification/revocation.
Have you ever had insurance, refused, cancelled, declined or had any special terms imposed?
Please give details

Vehicles

Please enter vehicle details below

Owned Vehicles
Registration MakeModel Vehicle typeGVW (in KG)
Add row

Please take care to complete this section accurately as this is the information that will appear on the policy schedule and be transmitted to the MID.

Email Address for MiD Portal access registration

Please ensure that you detail the email address correctly. Failure to do so will result in the client login not being sent. This login can be direct to client or yourselves.

Extensions

Cover for Transporters ?

Please Note: we only offer cover for a maximum of 2 vehicles

Do you require Windscreen cover ?

Please Note: This extension applies to Comprehensive cover only

Do you require cover for Motorcycles ?
(Standard policy excludes)
Policy cover for trailers ?
(Standard cover is Third Party)
Demonstration cover required ?
Do you require Protected No Claims Bonus ?
Do you require cover for Vehicle in Transit ?
Please specify Registration of the Vehicle being used