Diamond Insurance

Tel: 01538 386031
Fax: 01538 399588

Commercial vehicle Insurance
For a free quote please fill in the form below and click the submit button. We will get back to you ASAP.

Vehicle details Category Make Model GVW (tonnes) Engine Size, cc Fuel Registration No Year Value (£ UK) Parking	Proposer Details: Driver 1 Driving Status Sex Date of Birth License type Held For: Years Months Residency Years Marital Status Home owner? Yes No Any Disabilities? Yes No If yes please give details Maximum annual mileage Full Time Occupation Full Time Business Full Time Status Part Time Occupation Part Time Business Part Time Status Driver 2 (if Applicable) Driving Status Sex date of birth License type Held For: Years Months Residency Years Marital Status Home owner? Yes No Any Disabilities? Yes No Maximum annual mileage Full Time Occupation Full Time Business Full Time Status Part Time Occupation Part Time Business Part Time Status Driver 3 (if Applicable) Driving Status Sex date of birth License type Held For: Years Months Residency Years Marital Status Home owner? Yes No Any Disabilities? Yes No Maximum annual mileage Full Time Occupation Full Time Business Full Time Status Part Time Occupation Part Time Business Part Time Status
Policy Details: Cover Start Date Overnight Address(Post Code) Policy Term (Months) Who will drive Age of youngest driver Protect No Claims Held Insurance before? Yes No Years no claims
Vehicle Usage: Commuting Personal Business Employer's Business Another Business Carriage Of Goods only (within 75 mile radius) Carriage Of Goods only (exceeding 75 mile radius) Carriage Of Goods for hire or reward Soliciting For Orders Private Hire Public Hire Other please state Estimated miles per Year Contact Details: Telephone: (including STD code) Day Evening Other:Fax E-mail
Accidents / Losses in past 5 years. Please answer questions below for all drivers Any Accidents / Losses in past 5 years If yes please give details below including dates, costs, circumstances Any Convictions in the past 5 years If yes please give details below including dates, offence, codes, etc.

Diamond Insurance Services LTD, 63 Edward Street, Leek Staffordshire, ST13 5DN
Director I.Evans, Registered in England UK No. 2057462
Tel: 01538 386031 / Fax: 01538 399588