Storage and Transit Insurance Quote Form

Name / Date of Birth
Home Telephone No. / Occupation / Renewal Date
Mobile Telephone No. / E-mail address
Home Address (inc postcode): / Storage Address (if different):
Storage Location is: / Attached to Private House / Same site as Private House / Other:-
Construction:
/ Brick / Stone / Concrete / Other (state)
Roofing:
/ Tile / Slate / Metal / Other (state)
Main Door:
/ Dead Lock / Security Padlock / Other (state)
Side Door:
/ No Side Door / Dead Lock / Security Padlock / Other (state)
Windows:
/ No Windows / None Opening / Window Locks / Bars / Other (state)
Other Security:
/ Flood Lights / Intruder Alarm / Centrally Monitored Alarm / Other (state)
Vehicle 1 Description: / Value
Type of Motorsport: / I.D Number
Vehicle 2 Description: / Value
Type of Motorsport: / I.D Number
Vehicle 3 Description: / Value
Type of Motorsport: / I.D Number
Vehicle 4 Description: / Value
Type of Motorsport: / I.D Number
Tools and Spares: / Value
Computer Equipment: / Value
Protective Clothing: / Value
Please indicate the number of Transits anticipated in the coming 12 months by country, including the length of time normally spent away from Normal Storage Location:
Country: / Number of Transits: / Time away from storage:
Please give details of all claims, losses, or any circumstances that would have given rise to a claim, in the last 5 years at; these premises, at other premises, or, whilst in transit, and whether insured or not – for the risks now proposed: (If None, state ‘NONE’)
Year: / Number: / Details / Cost (£):
Minimum Security Standards- Information Purposes Only
Garage / Workshop:
Main Door / Five Lever Dead Lock, Security Padlock or Internal Bolts.
Side Door / Five Lever Dead Lock, Security Padlock or Internal Bolts.
Windows / Non-Opening, Bars, Security Mesh or Window Locks.
Vehicle:
In Storage / Keys Removed, Power Isolated (i.e. battery cut-out) or Mechanically
Immobilized (i.e. rotor arm removed).
In Transit
(when unattended) / Keys Removed, Power Isolated (i.e. battery cut-out) or Mechanically
Immobilized (i.e. rotor arm removed), Inside Locked Vehicle or Chained to Trailer.
Bikes and Karts:
In Storage / Chained to a large immovable object (i.e. Floor Bolt or Workbench) in a brick, stone or concrete building.
In Transit
(when unattended) / Inside Locked Vehicle or Securely Chained to External Trailer / Rack.
Trailer:
In Storage / Wheel Clamp, Security Chain or Inside Garage / Workshop.
In Transit
(when unattended) / Wheel Clamp or Security Chain.
N.B. a hitch lock on its own is not adequate security.
TRAILER INFORMATION
Trailer 1 / Value
Chassis/ I.D Mark / Trailer Security: / Security Chain / Wheel Clamp / Other (state):-
Trailer 2 / Value
Chassis/ I.D Mark / Trailer Security: / Security Chain / Wheel Clamp / Other (state):-
Trailer 3 / Value
Chassis/ I.D Mark / Trailer Security: / Security Chain / Wheel Clamp / Other (state):-
Trailer 4 / Value
Chassis/ I.D Mark / Trailer Security: / Security Chain / Wheel Clamp / Other (state):-
Trailer 5 / Value
Chassis/ I.D Mark / Trailer Security: / Security Chain / Wheel Clamp / Other (state):-
Trailer 6 / Value
Chassis/ I.D Mark / Trailer Security: / Security Chain / Wheel Clamp / Other (state):-
Trailer 7 / Value
Chassis/ I.D Mark / Trailer Security: / Security Chain / Wheel Clamp / Other (state):-
Trailer 8 / Value
Chassis/ I.D Mark / Trailer Security: / Security Chain / Wheel Clamp / Other (state):-
Trailer 9 / Value
Chassis/ I.D Mark / Trailer Security: / Security Chain / Wheel Clamp / Other (state):-
Trailer 10 / Value
Chassis/ I.D Mark / Trailer Security: / Security Chain / Wheel Clamp / Other (state):-
I you would like a quote or more information regarding any other products provided by Competition Car Insurance Please Tick the Boxes Below
Track Day/On Event Accidental Damage cover / Commercial/ Business Insurance
Personal Accident / Motor Trade