Caravan Insurance Quotation

Please ensure that the information provided by you and this statement is answered correctly and/or that where exclusions to cover are detailed, that you understand and accept these exclusions. If you decide to buy an Caravan Insurance Policy arranged by Frank Pickles, these details will form the basis of the insurance contract between us. Incorrect information could invalidate all or part of your policy, if you are UNSURE on any point please ask us. If your circumstances change between the date you purchase the policy and the date when you require the policy to commence, please call us. Incorrect information could invalidate all or part of your policy.

Note: We cannot arrange cover for the following caravans; Hobby, LMC (Lord Munsterland), Tabbert or Roma caravans or for any European caravan

Please note the minimum security requirement is a Hitchlock and Wheel Clamp. Please note for twin axle caravans two wheel clamps are required

Please tick each box to agree with the statement.

If you CANNOT agree with the statement below please call us  01943 850999.

	I hold a full UK driving licence
	My main address is in England, Wales, Scotland, The Isle of Man or the Channel Islands and I am a permanent UK citizen
	I have not made a claim against a caravan insurance policy in the last three years
	My caravan is less than 20 years old
	My Caravan is kept in the UK
	I am the owner of the Caravan
	The Caravan used for leisure purposes only
	The Caravan is of UK manufacture
	The Caravan is in a roadworthy condition
	Myself or my spouse have not been subject to any declaration of bankruptcy or been convicted of, or charged but not yet tried, of any offence other than driving? (You do not have to disclose convictions regarded as 'spent' under the Rehabilitation of Offenders Act 1974)
	If the caravan is kept on a caravan site or compound the site or compound hasnt suffered damage by storm, flood, theft or vandals
	In respect of a motor vehicle or caravan owned by myself no insurer has declined to accept, cancelled or refused to renew or applied special terms to the policy.
	My business or the business of my employer is NOT in any way connected with any of the following: Amusement Arcade Owner/Employee Artist Caravan Dweller Casino Employees Doorman/Bouncer/Night Security Entertainment Industry (Film/Television/Etc) Fairground/Circus Employee Horse Jockey/Trainer or the like Journalist Labourer Market Trader Models Musician Newspaper Journalists/Photographers Nightclub Owner/Dancer/Employee Offshore Gas/Oil Rig employee Professional Sports person Road Worker/Ashphalter Scaffolder Scrap/General (Dealers/Merchants) Unemployed Licensed Trade/Licensee/Publican/Employee
	I have read the above and confirm that I agree that all of the statements are correct and apply to me. Where a statement details exclusions to cover I confirm that these are acceptable to me and that I accept these limitations.

Your Duty of Disclosure It is your responsibility to ensure that you provide complete and accurate information. Any quotation which we give, or insurance which we arrange, is entirely based on the information that you provide. If you fail to disclose any material fact or change in circumstances this may invalidate your insurance and could mean that a claim which you make may not be paid either in part or in full. The underwriters reserves the right to refuse any proposal form