Central-Insurance.co.uk

Call us now on 024 7622 8791 - 9am-5:30pm Mon-Fri, 9am-1pm Sat

Existing Customers

Quotation for Change of Vehicle

Use this form to submit details of a change or possible change of vehicle. This form is for quotation purposes only. We will not make any changes to your policy until you confirm your requirements.


Your details - we need these to find you on our system
Customer reference	if known
Full Name
First Line of Address
Post Code
Email Address
Daytime Phone No
Vehicle details - the vehicle you wish to or may wish to change to
Manufacturer	(e.g. Ford or Rover)
Make and Full Model	(e.g. Fiesta LX 16v or 214 IS 8V)
Year of Manufacture	(e.g. 01/01/99)
Engine Size	(e.g. 1300)
Body Type
Fuel	Petrol Diesel
Transmission	Manual Automatic
Colour	(e.g. Red)
Finish
Value £
Right Hand Drive	Yes No
Number of seats
Where is the vehicle kept at night?
Is the vehicle modified or adapted from standard manufacture in any way?	Yes No If Yes - multi select from list (hold down 'CTRL' and click on your selections):
Has the vehicle ever been declared a total loss?	Yes No
You will be the registered owner and keeper?	Yes No
Is the vehicle a Japanese import?	Yes No
Vehicle Security
Cover Required
Date Cover Required	(e.g. 01/01/04)
Additional Comments
No cover is in force and you should not assume cover is in force until we confirm cover both verbally and in writing. If you need cover urgently, you should call us on 024 7622 8791. We will not make any changes to your policy until you confirm your requirements.
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