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Quotation Form for Taxi, Mini-cab, Private and
Public Hire Vehicles, Fleets and Chauffeurs
Call Us On 020 8388 6000
If you would like a free quotation for your taxi/mini-cab or private and public hire vehicle or fleet, please complete the quotation form below and
Press Submit to send it to us from this Website.

Proposer Details
Name *
Email Address *
Telephone Number *
Address *
Post Code *
Are you married *
Are you a homeowner
Date of Birth dd-mm-yyyy
How long have you been a resident in the UK years    months
Full length UK driving licence held * years    months
How long have you held an
International Driving Licence
years    months
Is the vehicle modified *
Left hand drive *
Any driving convictions in the last 5 years *
(If Yes please supply details)
Conviction date, offence code, penalty/fine, penalty points, ban if applicable.
Any accidents, claims or losses in the last 3 years *
(If Yes please supply details)
Incident date, circumstances, total costs if known
Any medical conditions *
(If Yes please supply details)
Type of policy required  Monthly      Quarterly      Annual
   
Car Details
Vehicle registration no.
Make / model
Engine size cc *
Value * £ .00
Year of registration dd-mm-yyyy
Number of seats
Date purchased dd-mm-yyyy
Where is the vehicle kept
Cover required
Where do you obtain your taxi licence *
How long have you been driving a taxi * years    months
Public or private hire
Name & post code of taxi cab office
How many years no claims bonus on a taxi policy years    months
How many years no claims bonus on a private car policy years    months
Current rate £ .00
Any other information
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Osborne & Sons (Insurance Consultants) Limited is an independent intermediary and authorised and regulated by the Financial Conduct Authority (FCA).
You can check these details on the Financial Services Register by visiting the FCA's Website (www.fca.org.uk) or by contacting the FCA on 0800 111 6768. Our FCA register number is 301014.
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