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Guernsey

Jersey

Isle of Man

Isle of Wight

Southampton

Car Insurance Application

Use our insurance application form to let us know your circumstances
Fields marked with an asterisk (*) are required.

Before you begin

You will need the following to complete this application.
All personal data is stored securely in line with Cherry Godfrey's Privacy & Data Policy.

Your Personal Information
Your Personal Information

Why? Insurers regard details of the driver as a very important rating factor. Your date of birth is important as young drivers will attract a higher rating due to their inexperience and older drivers may attract a discount. Your postcode may alter the premium being charged and most importantly, your accident and conviction history will affect the acceptability of the risk as well as the premium being charged.

Your Car Details
Your Car Details

Why? Various factors are taken into account by underwriters to determine acceptability of the risk and the premium to be charged. Insurers usually take into account Engine Capacity, Grouping and vehicle value, age of the car, manufacturer and type of car.

Your Employment Information
Your Employment Information

Why? The driver's occupation and any part-time or casual work they may be involved with is an important factor in determining the premium of acceptability of the risk. For example, courier work and fast food delivery may be specifically excluded. Typical occupations that insurers regard as higher than average risk include students (young, inexperienced and have a specific lifestyle), professional sportspeople and entertainers.

Please accept the terms and conditions before continuing

What is your title?

How would you prefer to be contacted?

? You must be over 17 to be eligible.

What is your marital status?

What is your nationality?

What is your address?

What is your residence status?

? We need 3 years of address history.

What is your employment information?

What is your employer's address?

? We need 3 years of address history.
Full Channel Island / Isle of Man / UK Car Licence
Full EU Car Licence
Full International Car Licence
Provisional Car Licence

How many additional drivers would you like to add to the policy?

? You must be over 17 to be eligible.

What is your title?

What is your marital status?

Full Channel Island / Isle of Man / UK Car Licence
Full EU Car Licence
Full International Car Licence
Provisional Car Licence
Abarth
Alfa Romeo
Aston Martin
Audi
Bentley
BMW
Chevrolet
Chrysler
Citroen
Dacia
Daimler
Dodge
Fiat
Ford
Honda
Hyundai
Isuzu
Jaguar
Jeep
Kia
Land Rover
Lexus
Lotus
Mercedes-Benz
Mazda
MG
Mini
Mitsubushi
Morgan
Nissan
Peugeot
Perodua
Pontiac
Porsche
Rolls-Royce
Rover
Renault
Saab
Seat
Skoda
Smart
SSangYong
Subaru
Suzuki
Toyota
Triumph
Vauxhall
Volkswagen
Volvo
Other

Transmission Type

Petrol
Diesel
Electric
Electric / Petrol Hybrid
Electric / Diesel Hybrid
CNG (Compressed Natural Gas)

Have there been any modifications to the vehicle?

Is the vehicle fitted with a security device?

Business Address
Car Park
Carport
Garaged
Kept On Private Property
Kept On Public Road
Kept On Third Party Premises
Locked Building
Locked Compound
Office / Factory Car Park
Open Public Car Park
Parked On Drive
Residents Parking on Private Premise
Residents Parking on Public Road
Secure Public Car Park
Shed
Street (Away From Home)
Unlocked Building
Unlocked Compound
Unlocked Garage

Comprehensive
Third Party, Fire and Theft
Third Party Only

Social, Domestic & Pleasure
Social, Domestic & Pleasure including Commuting
Personal Business Use

Has there been any claims on Car or Motorcycle Insurance in the last 5 years?

Has anyone named on the policy had any convictions in the last 5 years?

Do you have any No Claims Discount?

How did you hear about us?

Submit

Submitting

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Guernsey