Online Motor Insurance Quote

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ONLINE MOTOR INSURANCE QUOTE

Please fill in the following form below. Please note that fields marked with * are required.

Forces Solutions was set up to provide unique cover for members of HM Forces (and associated civilians) and aims to provide you with a low cost motor insurance policy but with all the benefits you need and yet, so rarely offered by any of our competitors.

All our insurers are ‘Forces friendly’ and we are able to provide cover throughout the UK and for personnel based in British Forces Germany and at SHAPE. We (and all of our insurers) are authorised and regulated by the Financial Conduct Authority.

To enable us to provide you with a quotation please ensure you answer all the questions on the following form honestly and as accurately as possible. If you don’t, any claim you make may be rejected.

When completing the form please remember to include your contact phone number as it may be necessary for one of our specialist insurance advisers to contact you to clarify any specific issue that may arise.
If you are unsure about any aspect of the form please contact us on +44 (0) 116 473 5 473
Proposer Details
Title*
First Name*
Last Name*
Date of birth*
DD slash MM slash YYYY
Mobile number*
Home/Work number
Email Address*
ADDRESS
Address is very important, if you live on base, please use this address and not your home address. If you have an accident and the Insurers discover you live on base rather than the address you have given, this could see a claim declined.
Address Line 1*
Address Line 2*
Address Line 3
Post Code*
Country*
Marital status*
Where did you hear about Forces Solutions?*
Branch of Services*
Rank*
Service Number
Occupation
Industry
Licence Type*
What date did you pass your full UK driving test?*
DD slash MM slash YYYY
What date did you pass your full EU/International driving test? (if applicable)
DD slash MM slash YYYY
Which country was your licence issued?*
Do you hold a CAT C licence?*
Type of Employment*
Occupation*
Business*
Have you had any accidents or claims regardless of blame in the last 5 years?*
If yes then please give date, description and if the claim was fault or non fault

If you have more than one claim, please enter the most recent below and add any further claims in the additional information section at the end of the quote form.
Date of Incident
DD slash MM slash YYYY
Type
Where you at fault?
Have you had any motoring convictions, endorsements including any pending prosecutions in the last 5 years?*
If yes then please give date, conviction code, points, ban (if applicable) and fine

If you have more than one conviction, please enter the most recent below and add any further claims in the additional information section at the end of the quote form.
Conviction Code
Points
Ban
Do you have any medical conditions or disabilities notifiable to DVLA?*
If yes then please provide details and any restrictions on your licence
Would you like to add another driver?*

ADDITIONAL DRIVER DETAIL

Title	First name	Last name	Date of Birth	Relationship to policyholder	Actions

There are no DRIVERS.

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Proposer Details

ADDRESS

Vehicle Details

Cover Details

Summary of Completed Form

Please check all details are correct before submiting

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