Insurance
Questionnaire

Let’s save you money on your Gap insurance

Please answer the following questions as honestly and accurately as possible.

The policies available through our comparison are based on the information you have provided us, if these are incorrect or incomplete, you may have your policy cancelled and claims rejected.

Cover Details
In order to complete your quote, you agree to the following:

  • I have a valid UK Full or Provisional Licence.
  • I am the owner of the vehicle, have a finance or a lease agreement, or I am the registered keeper.
  • The vehicle is covered by a Comprehensive Insurance Policy.
  • Yes
  • No
Did you purchase your vehicle through a dealership/broker or garage?
Yes
No
Not purchased yet
 
How many days ago did you purchase the vehicle?
0-99
100-179
180+ days
 
How did you fund the purchase of the vehicle?
Personal Loan
Cash
Finance (HP / PCP)
Contract Hire / Lease
 
On what date did you take delivery of the vehicle? *
 
What is the total invoice price of the vehicle? *
 
What is the registration number of your vehicle?
Find my vehicle

 
What is the vehicle's current mileage?
 
Which product best suits your needs?
Combined Return To Invoice
Return To Invoice
Return To Value
Finance Gap
Contract Hire
 
Do you want to also cover any deposit or outstanding finance charges in addition to your vehicle? Covering the difference between the motor insurance settlement figure and the reater of either the purchase price of your vehicle or the early settlement amount that you owe to your finance company.
Yes
No
 
Are you buying the vehicle brand new?
Yes
No
 
How long do you want your cover to last?
2 Years
3 Years
4 Years
5 Years
 
When do you like the policy to start?
Personal Details
Title
Mr
Mrs
Miss
Ms
Dr
First Name
Surname
Date of birth
Postcode
Find my address

 
Email Address
Phone Number
 
Marketing

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