MotorCycle Direct provides bike insurance by comparing price and cover from our panel of leading UK insurance companies. Please take reasonable care to ensure all of the details you enter are correct and accurate.

Information

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MotorCycle Direct provides bike insurance which is underwritten by our insurance partners. Before you can create your cover, we need to collect some basic details. To protect our customers we carry out a number of anti-fraud checks, including checks with credit reference agencies, to confirm the accuracy of your information and to assist us with the assessment of your application. These take place both during and after your application. Please take reasonable care to ensure all of the details you enter are correct and accurate.

Rider Details        * indicates a required field >View / Edit details

true minLength 1 invalid Please select your title

Title:  *

Please select Mr Miss Mrs Ms Doctor Rev Sir Professor

Please select your title Please select your title

true minLength 2 invalid Please enter your first name

First Name:  *

Please enter your first name Please enter your first name

true minLength 2 invalid Please enter your surname

Surname:  *

Please enter your surname Please enter your surname

true isSelected invalid Please select your gender

Gender:  *

Male Female

Please select your gender Please select your gender

true ageRangeFreeText 16,90 invalid Please enter a valid date of birth

Date of birth:  *

Please enter a valid date of birth Please enter a valid date of birth

true minLength 1 invalid Licence type is required

Type of motorcycle licence?:  *

Please select Full UK Provisional UK International EEC Other Moped Only

Licence type is required Licence type is required

true minLength 1 invalid Please enter a date for your licence

Licence held since:  *

Please enter a date for your licence Please enter a date for your licence

true minLength 1 invalid Please select your employment status

What is your main employment status?:  *

Please select Employee/Staff Self-employed Retired Director Unemployed Houseperson Full Time Education

Please select your employment status Please select your employment status

true minLength 1 invalid Please enter your main occupation

What is your occupation?:  *

Please enter your main occupation Please enter your main occupation

true minLength 1 invalid Please enter industry area

What industry is your occupation in?:  *

Please enter industry area Please enter industry area

true minLength 1 invalid Please enter your additional occupation

Do you have an additional occupation?:  *

Please select No additional employment Employee/Staff Self-employed Director

Please enter your additional occupation Please enter your additional occupation

true minLength 1 invalid Please enter your additional occupation

What is your occupation?:  *

Please enter your additional occupation Please enter your additional occupation

true minLength 1 invalid Please enter industry area

What industry is this occupation?:  *

Please enter industry area Please enter industry area

true isDateAtLeastDependentFieldFreeText proposer_dateOfBirth invalid Please enter a valid date of residency in UK

Date of residency in UK:  *

Please enter a valid date of residency in UK Please enter a valid date of residency in UK

true minLength 1 invalid Please enter your marital status

Marital status:  *

Please select Single Married Civil Partnered Widowed Divorced

Please enter your marital status Please enter your marital status

true isSelectedNo invalid Please select Yes or No

Have you ever been refused insurance, had insurance cancelled, declined or voided, or have had special terms imposed?:  *

Yes No

Please select Yes or No Please select Yes or No

true isSelectedNo invalid Please select Yes or No

Have you any unspent or pending non-motoring convictions?:  *

Yes No

Please select Yes or No Please select Yes or No

true minLength 1 invalid Advanced motoring qualifications is required

Do you have any advanced motoring qualifications?:  *

Please Select None Advanced Police Rider Automobile Association BMF Blue Riband Award BMF Blue Ribbon. BMF Certificate of Proficency Brittania Rescue Driving Standards Agency EDGE initiative Green Flag Institute - Advanced Motorists Motag Advanced Rider Training Motag Motorcycle Instructors Motorcycle - Other Motorcycle Appreciation Course Motorcycle Rider Training Assn Other Post Test Trainers Register ROSPA Motorcycle Gold Royal Automobile Club S.M.A.R.T. Advanced Course Vision Advanced Rider - Gold

Advanced motoring qualifications is required Advanced motoring qualifications is required

true minLength 1 invalid BMF/MAG membership is required

Are you a Member of BMF or MAG?:  *

Please select None Both BMF MAG

BMF/MAG membership is required BMF/MAG membership is required

true minLength 1 invalid Please specify any access to other vehicles

Do you have access to other vehicles?:  *

Please select No Access Car Van

Please specify any access to other vehicles Please specify any access to other vehicles

false

When is your car insurance due for renewal?:

Please select Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

false

When is your van insurance due for renewal?:

Please select Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

true minLength 1 invalid Please specify who will be riding the bike

Who will be riding the bike?:  *

Please select Proposer Only Proposer & Named Riders

Please specify who will be riding the bike Please specify who will be riding the bike

true minLength 1 invalid Number of named riders is required

Number of named riders:  *

Please select 1 2 3 4

Number of named riders is required Number of named riders is required

---

Additional Rider 01

true minLength 1 invalid Please select a title

Title:  *

Please select Mr Miss Mrs Ms Doctor Rev Sir Professor

Please select a title Please select a title

true minLength 2 invalid Please enter a first name

First Name:  *

Please enter a first name Please enter a first name

true minLength 2 invalid Please enter a surname

Surname:  *

Please enter a surname Please enter a surname

true isSelected invalid Please select a gender

Gender:  *

Male Female

Please select a gender Please select a gender

true minLength 1 invalid Please enter Relationship to Proposer

Relationship to Proposer:  *

Please select Spouse Common Law Spouse Civil Partner No Relation Son / Daughter Parent Sibling

Please enter Relationship to Proposer Please enter Relationship to Proposer

true ageRangeFreeText 16,90 invalid Please enter a valid date of birth

Date of birth:  *

Please enter a valid date of birth Please enter a valid date of birth

true minLength 1 invalid Please select a licence type

Type of motorcycle licence?:  *

Please select Full UK Provisional UK International EEC Other Moped Only

Please select a licence type Please select a licence type

true minLength 1 invalid Please enter a date for your licence

Licence held since:  *

Please enter a date for your licence Please enter a date for your licence

true minLength 1 invalid Please select an employment status

What is their main employment status?:  *

Please select Employee/Staff Self-employed Retired Director Unemployed Houseperson Full Time Education

Please select an employment status Please select an employment status

true minLength 1 invalid Please enter their main occupation

What is their occupation?:  *

Please enter their main occupation Please enter their main occupation

true minLength 1 invalid Please enter an industry area

What industry is their occupation in?:  *

Please enter an industry area Please enter an industry area

true minLength 1 invalid Please enter an additional occupation

Do they have an additional occupation?:  *

Please select No additional employment Employee/Staff Self-employed Director

Please enter an additional occupation Please enter an additional occupation

true minLength 1 invalid Please enter their additional occupation

What is their occupation?:  *

Please enter their additional occupation Please enter their additional occupation

true minLength 1 invalid Please enter industry area

What industry is this occupation?:  *

Please enter industry area Please enter industry area

true isDateAtLeastDependentFieldFreeText drivers_1_dateOfBirth invalid Please enter a valid date of residency in UK

Date of residency in UK:  *

Please enter a valid date of residency in UK Please enter a valid date of residency in UK

true minLength 1 invalid Please enter a marital status

Marital status:  *

Please select Single Married Civil Partnered Widowed Divorced

Please enter a marital status Please enter a marital status

true isSelectedNo invalid Please select Yes or No

Have they ever been refused insurance , had insurance cancelled, declined or voided, or have had special terms imposed?:  *

Yes No

Please select Yes or No Please select Yes or No

true isSelectedNo invalid Please select Yes or No

Have they any unspent or pending
non-motoring convictions?:  *

Yes No

Please select Yes or No Please select Yes or No

 Remove this Additional Rider

---

Additional Rider 02

true minLength 1 invalid Please select a title

Title:  *

Please select Mr Miss Mrs Ms Doctor Rev Sir Professor

Please select a title Please select a title

true minLength 2 invalid Please enter a first name

First Name:  *

Please enter a first name Please enter a first name

true minLength 2 invalid Please enter a surname

Surname:  *

Please enter a surname Please enter a surname

true isSelected invalid Please select a gender

Gender:  *

Male Female

Please select a gender Please select a gender

true minLength 1 invalid Please enter Relationship to Proposer

Relationship to Proposer:  *

Please select Spouse Common Law Spouse Civil Partner No Relation Son / Daughter Parent Sibling

Please enter Relationship to Proposer Please enter Relationship to Proposer

true ageRangeFreeText 16,90 invalid Please enter a valid date of birth

Date of birth:  *

Please enter a valid date of birth Please enter a valid date of birth

true minLength 1 invalid Please select a licence type

Type of motorcycle licence?:  *

Please select Full UK Provisional UK International EEC Other Moped Only

Please select a licence type Please select a licence type

true minLength 1 invalid Please enter a date for your licence

Licence held since:  *

Please enter a date for your licence Please enter a date for your licence

true minLength 1 invalid Please select an employment status

What is their main employment status?:  *

Please select Employee/Staff Self-employed Retired Director Unemployed Houseperson Full Time Education

Please select an employment status Please select an employment status

true minLength 1 invalid Please enter their main occupation

What is their occupation?:  *

Please enter their main occupation Please enter their main occupation

true minLength 1 invalid Please enter an industry area

What industry is their occupation in?:  *

Please enter an industry area Please enter an industry area

true minLength 1 invalid Please enter an additional occupation

Do they have an additional occupation?:  *

Please select No additional employment Employee/Staff Self-employed Director

Please enter an additional occupation Please enter an additional occupation

true minLength 1 invalid Please enter their additional occupation

What is their occupation?:  *

Please enter their additional occupation Please enter their additional occupation

true minLength 1 invalid Please enter industry area

What industry is this occupation?:  *

Please enter industry area Please enter industry area

true isDateAtLeastDependentFieldFreeText drivers_2_dateOfBirth invalid Please enter a valid date of residency in UK

Date of residency in UK:  *

Please enter a valid date of residency in UK Please enter a valid date of residency in UK

true minLength 1 invalid Please enter a marital status

Marital status:  *

Please select Single Married Civil Partnered Widowed Divorced

Please enter a marital status Please enter a marital status

true isSelectedNo invalid Please select Yes or No

Have they ever been refused insurance , had insurance cancelled, declined or voided, or have had special terms imposed?:  *

Yes No

Please select Yes or No Please select Yes or No

true isSelectedNo invalid Please select Yes or No

Have they any unspent or pending
non-motoring convictions?:  *

Yes No

Please select Yes or No Please select Yes or No

 Remove this Additional Rider

---

Additional Rider 03

true minLength 1 invalid Please select a title

Title:  *

Please select Mr Miss Mrs Ms Doctor Rev Sir Professor

Please select a title Please select a title

true minLength 2 invalid Please enter a first name

First Name:  *

Please enter a first name Please enter a first name

true minLength 2 invalid Please enter a surname

Surname:  *

Please enter a surname Please enter a surname

true isSelected invalid Please select a gender

Gender:  *

Male Female

Please select a gender Please select a gender

true minLength 1 invalid Please enter Relationship to Proposer

Relationship to Proposer:  *

Please select Spouse Common Law Spouse Civil Partner No Relation Son / Daughter Parent Sibling

Please enter Relationship to Proposer Please enter Relationship to Proposer

true ageRangeFreeText 16,90 invalid Please enter a valid date of birth

Date of birth:  *

Please enter a valid date of birth Please enter a valid date of birth

true minLength 1 invalid Please select a licence type

Type of motorcycle licence?:  *

Please select Full UK Provisional UK International EEC Other Moped Only

Please select a licence type Please select a licence type

true minLength 1 invalid Please enter a date for your licence

Licence held since:  *

Please enter a date for your licence Please enter a date for your licence

true minLength 1 invalid Please select an employment status

What is their main employment status?:  *

Please select Employee/Staff Self-employed Retired Director Unemployed Houseperson Full Time Education

Please select an employment status Please select an employment status

true minLength 1 invalid Please enter their main occupation

What is their occupation?:  *

Please enter their main occupation Please enter their main occupation

true minLength 1 invalid Please enter an industry area

What industry is their occupation in?:  *

Please enter an industry area Please enter an industry area

true minLength 1 invalid Please enter an additional occupation

Do they have an additional occupation?:  *

Please select No additional employment Employee/Staff Self-employed Director

Please enter an additional occupation Please enter an additional occupation

true minLength 1 invalid Please enter their additional occupation

What is their occupation?:  *

Please enter their additional occupation Please enter their additional occupation

true minLength 1 invalid Please enter industry area

What industry is this occupation?:  *

Please enter industry area Please enter industry area

true isDateAtLeastDependentFieldFreeText drivers_3_dateOfBirth invalid Please enter a valid date of residency in UK

Date of residency in UK:  *

Please enter a valid date of residency in UK Please enter a valid date of residency in UK

true minLength 1 invalid Please enter a marital status

Marital status:  *

Please select Single Married Civil Partnered Widowed Divorced

Please enter a marital status Please enter a marital status

true isSelectedNo invalid Please select Yes or No

Have they ever been refused insurance , had insurance cancelled, declined or voided, or have had special terms imposed?:  *

Yes No

Please select Yes or No Please select Yes or No

true isSelectedNo invalid Please select Yes or No

Have they any unspent or pending
non-motoring convictions?:  *

Yes No

Please select Yes or No Please select Yes or No

 Remove this Additional Rider

---

Additional Rider 04

true minLength 1 invalid Please select a title

Title:  *

Please select Mr Miss Mrs Ms Doctor Rev Sir Professor

Please select a title Please select a title

true minLength 2 invalid Please enter a first name

First Name:  *

Please enter a first name Please enter a first name

true minLength 2 invalid Please enter a surname

Surname:  *

Please enter a surname Please enter a surname

true isSelected invalid Please select a gender

Gender:  *

Male Female

Please select a gender Please select a gender

true minLength 1 invalid Please enter Relationship to Proposer

Relationship to Proposer:  *

Please select Spouse Common Law Spouse Civil Partner No Relation Son / Daughter Parent Sibling

Please enter Relationship to Proposer Please enter Relationship to Proposer

true ageRangeFreeText 16,90 invalid Please enter a valid date of birth

Date of birth:  *

Please enter a valid date of birth Please enter a valid date of birth

true minLength 1 invalid Please select a licence type

Type of motorcycle licence?:  *

Please select Full UK Provisional UK International EEC Other Moped Only

Please select a licence type Please select a licence type

true minLength 1 invalid Please enter a date for your licence

Licence held since:  *

Please enter a date for your licence Please enter a date for your licence

true minLength 1 invalid Please select an employment status

What is their main employment status?:  *

Please select Employee/Staff Self-employed Retired Director Unemployed Houseperson Full Time Education

Please select an employment status Please select an employment status

true minLength 1 invalid Please enter their main occupation

What is their occupation?:  *

Please enter their main occupation Please enter their main occupation

true minLength 1 invalid Please enter an industry area

What industry is their occupation in?:  *

Please enter an industry area Please enter an industry area

true minLength 1 invalid Please enter an additional occupation

Do they have an additional occupation?:  *

Please select No additional employment Employee/Staff Self-employed Director

Please enter an additional occupation Please enter an additional occupation

true minLength 1 invalid Please enter their additional occupation

What is their occupation?:  *

Please enter their additional occupation Please enter their additional occupation

true minLength 1 invalid Please enter industry area

What industry is this occupation?:  *

Please enter industry area Please enter industry area

true isDateAtLeastDependentFieldFreeText drivers_4_dateOfBirth invalid Please enter a valid date of residency in UK

Date of residency in UK:  *

Please enter a valid date of residency in UK Please enter a valid date of residency in UK

true minLength 1 invalid Please enter a marital status

Marital status:  *

Please select Single Married Civil Partnered Widowed Divorced

Please enter a marital status Please enter a marital status

true isSelectedNo invalid Please select Yes or No

Have they ever been refused insurance , had insurance cancelled, declined or voided, or have had special terms imposed?:  *

Yes No

Please select Yes or No Please select Yes or No

true isSelectedNo invalid Please select Yes or No

Have they any unspent or pending
non-motoring convictions?:  *

Yes No

Please select Yes or No Please select Yes or No

 Remove this Additional Rider

Continue 

Contact Details >View / Edit details

true email invalid A valid email address is required

Email:  *

A valid email address is required A valid email address is required

true email invalid A valid email address is required

Please confirm your Email:  *

A valid email address is required A valid email address is required

true phone invalid A valid phone number is required

Contact mobile telephone number:  *

A valid phone number is required A valid phone number is required

true postcode invalid A valid postcode is required

Postcode:  *

A valid postcode is required A valid postcode is required

true minLength 1 invalid Please enter a house name or number

House Name or Number:  *

Find 

Please enter a house name or number Please enter a house name or number

true minLength 2 invalid Street name is required

Street name:  *

Street name is required Street name is required

true minLength 2 invalid Town/City is required

Town/City:  *

Town/City is required Town/City is required

true minLength 2 invalid County is required

County:  *

County is required County is required

true minLength 1 invalid Please select the type of property you live in

What type of property is this?:  *

Please select House Flat Caravan Houseboat Married Quarters Halls of Residence

Please select the type of property you live in Please select the type of property you live in

true isSelected invalid Please indicate if you are a homeowner

Are you a homeowner?:  *

Yes No

Please indicate if you are a homeowner Please indicate if you are a homeowner

false

When is your home insurance due for renewal?:

Please select Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

 Back Continue 

Claims & Convictions >View / Edit details

true minLength 1 invalid Number of claims is required

How many times have you had or caused any accidents, claims, windscreen claims or damage involving any motor vehicle in the past 5 years, whether or not a claim was made, and regardless of blame?:  *

Please select 0 1 2 3 4 5 6 7 8 9 10

Number of claims is required Number of claims is required

---

true minLength 1 invalid Number of convictions is required

How many times have you received any of the following: motoring convictions, driving licence endorsements, fixed penalties (endorsed on your driving licence), disqualifications from driving all in the last 5 years or pending prosecutions for any motoring offence?:  *

Please select 0 1 2 3 4 5 6 7 8 9 10

Number of convictions is required Number of convictions is required

---

Additional Rider 01 > Claims and Convictions

true minLength 1 invalid Number of claims is required

How many times have you had or caused any accidents, claims, windscreen claims or damage involving any motor vehicle in the past 5 years, whether or not a claim was made, and regardless of blame?:  *

Please select 0 1 2 3 4 5 6 7 8 9 10

Number of claims is required Number of claims is required

---

true minLength 1 invalid Number of convictions is required

How many times have you received any of the following: motoring convictions, driving licence endorsements, fixed penalties (endorsed on your driving licence), disqualifications from driving all in the last 5 years or pending prosecutions for any motoring offence?:  *

Please select 0 1 2 3 4 5 6 7 8 9 10

Number of convictions is required Number of convictions is required

---

Additional Rider 02 > Claims and Convictions

true minLength 1 invalid Number of claims is required

How many times have you had or caused any accidents, claims, windscreen claims or damage involving any motor vehicle in the past 5 years, whether or not a claim was made, and regardless of blame?:  *

Please select 0 1 2 3 4 5 6 7 8 9 10

Number of claims is required Number of claims is required

---

true minLength 1 invalid Number of convictions is required

How many times have you received any of the following: motoring convictions, driving licence endorsements, fixed penalties (endorsed on your driving licence), disqualifications from driving all in the last 5 years or pending prosecutions for any motoring offence?:  *

Please select 0 1 2 3 4 5 6 7 8 9 10

Number of convictions is required Number of convictions is required

---

Additional Rider 03 > Claims and Convictions

true minLength 1 invalid Number of claims is required

How many times have you had or caused any accidents, claims, windscreen claims or damage involving any motor vehicle in the past 5 years, whether or not a claim was made, and regardless of blame?:  *

Please select 0 1 2 3 4 5 6 7 8 9 10

Number of claims is required Number of claims is required

---

true minLength 1 invalid Number of convictions is required

How many times have you received any of the following: motoring convictions, driving licence endorsements, fixed penalties (endorsed on your driving licence), disqualifications from driving all in the last 5 years or pending prosecutions for any motoring offence?:  *

Please select 0 1 2 3 4 5 6 7 8 9 10

Number of convictions is required Number of convictions is required

---

Additional Rider 04 > Claims and Convictions

true minLength 1 invalid Number of claims is required

How many times have you had or caused any accidents, claims, windscreen claims or damage involving any motor vehicle in the past 5 years, whether or not a claim was made, and regardless of blame?:  *

Please select 0 1 2 3 4 5 6 7 8 9 10

Number of claims is required Number of claims is required

---

true minLength 1 invalid Number of convictions is required

How many times have you received any of the following: motoring convictions, driving licence endorsements, fixed penalties (endorsed on your driving licence), disqualifications from driving all in the last 5 years or pending prosecutions for any motoring offence?:  *

Please select 0 1 2 3 4 5 6 7 8 9 10

Number of convictions is required Number of convictions is required

true minLength 1 invalid Please enter the conviction date true minLength 1 invalid Conviction code for is required true number 1 invalid Conviction points is required true number 1 invalid Conviction fine amount is required true number 1 invalid Conviction ban months is required true minLength 1 invalid alcohol test type for is required true number 1 invalid Level of reading is required

Conviction 01

true minLength 1 invalid Conviction date is required

Date of conviction:  *

Conviction date is required Conviction date is required

true minLength 1 invalid Conviction code for is required

Conviction code:  *

Please Select AC10 Failing to stop after an accident AC12 Aiding and abetting AC10 AC14 Causing or permitting AC10 AC16 Inciting AC10 AC20 Failing to report an accident within 24 hours AC22 Aiding and abetting AC20 AC24 Causing or permitting AC20 AC26 Inciting AC20 AC30 Undefined accident offence AC32 Aiding and abetting AC30 AC34 Causing or permitting AC30 AC36 Inciting AC30 BA10 Driving while disqualified BA12 Aiding and abetting BA10 BA14 Causing or permitting BA10 BA16 Inciting BA10 BA20 Driving while disqualified by reason of age BA22 Aiding and abetting BA20 BA24 Causing or permitting BA20 BA26 Inciting BA20 BA30 Attempting to drive while disqualified BA32 Aiding and abetting BA30 BA34 Causing or permitting BA30 BA36 Inciting BA30 CD10 Driving without due care and attention CD12 Aiding and abetting CD10 CD14 Causing or permitting CD10 CD16 Inciting CD10 CD20 Driving without consideration for other road users CD22 Aiding and abetting CD20 CD24 Causing or permitting CD20 CD26 Inciting CD20 CD30 Driving without due care/reasonable consideration CD32 Aiding and abetting CD30 CD34 Causing or permitting CD30 CD36 Inciting CD30 CD40 Causing death by careless driving-unfit thru drink CD42 Aiding and abetting CD40 CD44 Causing or permitting CD40 CD46 Inciting CD40 CD50 Causing death by careless driving-unfit thru drugs CD52 Aiding and abetting CD50 CD54 Causing or permitting CD50 CD56 Inciting CD50 CD60 Causing death by careless driving-unfit over limit CD62 Aiding and abetting CD60 CD64 Causing or permitting CD60 CD66 Inciting CD60 CD70 Causing death by careless driving-not prov. specim CD71 Death by driving & refusing spec for drug analysis CD72 Aiding and abetting CD70 CD74 Causing or permitting CD70 CD76 Inciting CD70 CD80 Causing Death By Careless / Inconsiderate Driving CD82 Aiding and abetting CD80 CD84 Causing or permitting CD80 CD86 Inciting CD80 CD90 Causing Death By Driving Unlic CD92 Aiding and abetting CD90 CD94 Causing or permitting CD90 CD96 Inciting CD90 CU10 Using a vehicle with defective brakes CU12 Aiding and abetting CU10 CU14 Causing or permitting CU10 CU16 Inciting CU10 CU20 Using a vehicle with parts in a dangerous condit CU22 Aiding and abetting CU20 CU24 Causing or permitting CU20 CU26 Inciting CU20 CU30 Using a vehicle with defective tyres CU32 Aiding and abetting CU30 CU34 Causing or permitting CU30 CU36 Inciting CU30 CU40 Using a vehicle with defective steering CU42 Aiding and abetting CU40 CU44 Causing or permitting CU40 CU46 Inciting CU40 CU50 Causing danger by reason of load or passengers CU52 Aiding and abetting CU50 CU54 Causing or permitting CU50 CU56 Inciting CU50 CU60 Undefined construction and use conviction CU62 Aiding and abetting CU60 CU64 Causing or permitting CU60 CU66 Inciting CU60 CU70 Breach of requirement as to speed detection device CU72 Aiding and abetting CU70 CU74 Causing or permitting CU70 CU76 Inciting CU70 CU80 Driving whilst using a mobile phone CU82 Aiding and abetting CU80 CU84 Causing or permitting CU80 CU86 Inciting CU80 DD10 Driving in a dangerous manner DD12 Aiding and abetting DD10 DD14 Causing or permitting DD10 DD16 Inciting DD10 DD20 Driving at a dangerous speed DD22 Aiding and abetting DD20 DD24 Causing or permitting DD20 DD26 Inciting DD20 DD30 Reckless driving DD32 Aiding and abetting DD30 DD34 Causing or permitting DD30 DD36 Inciting DD30 DD40 Driving dangerously DD42 Aiding and abetting DD40 DD44 Causing or permitting DD40 DD46 Inciting DD40 DD50 Causing death by dangerous driving DD52 Aiding and abetting DD50 DD54 Causing or permitting DD50 DD56 Inciting DD50 DD60 Culpable homicide while driving a vehicle DD62 Aiding and abetting DD60 DD64 Causing or permitting DD60 DD66 Inciting DD60 DD70 Causing death by reckless driving DD72 Aiding and abetting DD70 DD74 Causing or permitting DD70 DD76 Inciting DD70 DD80 Causing death by dangerous driving DD82 Aiding and abetting DD80 DD84 Causing or permitting DD80 DD86 Inciting DD80 DD90 Furious Driving DD92 Aiding and abetting DD90 DD94 Causing or permitting DD90 DD96 Inciting DD90 DG10 Drvng or attemp to drive with drug level above Lim DG12 Aiding and abetting DG10 DG14 Causing or permitting DG10 DG16 Inciting DG10 DG40 In charge of vehicle while drug level above limit DG42 Aiding and abetting DG40 DG44 Causing or permitting DG40 DG46 Inciting DG40 DG60 Cause death by careles drvng with drug lvl abv lim DG62 Aiding and abetting DG60 DG64 Causing or permitting DG60 DG66 Inciting DG60 DR10 Driving with alcohol level above limit DR12 Aiding and abetting DR10 DR14 Causing or permitting DR10 DR16 Inciting DR10 DR20 Driving while unfit through drink or drugs DR22 Aiding and abetting DR20 DR24 Causing or permitting DR20 DR26 Inciting DR20 DR30 Driving then refusing a specimen for analysis DR31 Driving then refusing a specimen for drug analysis DR32 Aiding and abetting DR30 DR34 Causing or permitting DR30 DR36 Inciting DR30 DR40 In charge of a vehicle while above alcohol limit DR42 Aiding and abetting DR40 DR44 Causing or permitting DR40 DR46 Inciting DR40 DR50 In charge of vehicle when unfit through drink/drug DR52 Aiding and abetting DR50 DR54 Causing or permitting DR50 DR56 Inciting DR50 DR60 In charge of vehicle & refusing spec. for analysis DR61 In charge of vehicle & refusing spec for drug analysis DR62 Aiding and abetting DR60 DR64 Causing or permitting DR60 DR66 Inciting DR60 DR70 Failing to provide specimen for breath test DR72 Aiding and abetting DR70 DR74 Causing or permitting DR70 DR76 Inciting DR70 DR80 Driving/attempting to drive when unfit thru drugs DR82 Aiding and abetting DR80 DR84 Causing or permitting DR80 DR86 Inciting DR80 DR90 In charge of a vehicle when unfit through drugs DR92 Aiding and abetting DR90 DR94 Causing or permitting DR90 DR96 Inciting DR90 IN10 Using a vehicle uninsured against 3rd party risks IN12 Aiding and abetting IN10 IN14 Causing or permitting IN10 IN16 Inciting IN10 LC10 Driving without a licence LC12 Aiding and abetting LC10 LC14 Causing or permitting LC10 LC16 Inciting LC10 LC20 Driving otherwise than in accordance with licence LC22 Aiding and abetting LC20 LC24 Causing or permitting LC20 LC26 Inciting LC20 LC30 Driving after making a false declaration of fitnes LC32 Aiding and abetting LC30 LC34 Causing or permitting LC30 LC36 Inciting LC30 LC40 Driving a vehicle having not notified a disability LC42 Aiding and abetting LC40 LC44 Causing or permitting LC40 LC46 Inciting LC40 LC50 Driving & licence revokd/refusd on medical grounds LC52 Aiding and abetting LC50 LC54 Causing or permitting LC50 LC56 Inciting LC50 MR09 Disqualification - Reckless and Dangerous Driving MR19 Disqualification - Failure To Stop After Accident MR29 Disqualification - Driving Under The Influence MR39 Disqualification - Speeding MR49 Disqualification - Driving Whilst Disqualified MR59 Disqualification - Other Offence MS10 Leaving a vehicle in a dangerous position MS12 Aiding and abetting MS10 MS14 Causing or permitting MS10 MS16 Inciting MS10 MS20 Unlawful pillion riding MS22 Aiding and abetting MS20 MS24 Causing or permitting MS20 MS26 Inciting MS20 MS30 Playstreet offences MS32 Aiding and abetting MS30 MS34 Causing or permitting MS30 MS36 Inciting MS30 MS40 Driving with uncorrected defective eyesight MS42 Aiding and abetting MS40 MS44 Causing or permitting MS40 MS46 Inciting MS40 MS50 Motor racing on the highway MS52 Aiding and abetting MS50 MS54 Causing or permitting MS50 MS56 Inciting MS50 MS60 Offences not covered by other codes MS62 Aiding and abetting MS60 MS64 Causing or permitting MS60 MS66 Inciting MS60 MS70 Driving with uncorrected defective eyesight MS72 Aiding and abetting MS70 MS74 Causing or permitting MS70 MS76 Inciting MS70 MS80 Refusing to submit to an eyesight test MS82 Aiding and abetting MS80 MS84 Causing or permitting MS80 MS86 Inciting MS80 MS90 Failing to give info. to identity of driver/vehicl MS92 Aiding and abetting MS90 MS94 Causing or permitting MS90 MS96 Inciting MS90 MW10 Contravention of special road regulations MW12 Aiding and abetting MW10 MW14 Causing or permitting MW10 MW16 Inciting MW10 NE99 Non Endorsable Offence NI09 GB drivers disqualified in Northern Ireland NR09 GB drivers revoked under the New Drivers Act in NI PC10 Undefined contravention of crossing regulations PC12 Aiding and abetting PC10 PC14 Causing or permitting PC10 PC16 Inciting PC10 PC20 Contravention of pedestrian crossing regulations PC22 Aiding and abetting PC20 PC24 Causing or permitting PC20 PC26 Inciting PC20 PC30 Parking on a pedestrian crossing PC32 Aiding and abetting PC30 PC34 Causing or permitting PC30 PC36 Inciting PC30 PL10 Driving without 'L' plates PL12 Aiding and abetting PL10 PL14 Causing or permitting PL10 PL16 Inciting PL10 PL20 Not accompanied by a qualified person PL22 Aiding and abetting PL20 PL24 Causing or permitting PL20 PL26 Inciting PL20 PL30 Carrying a person not qualified PL32 Aiding and abetting PL30 PL34 Causing or permitting PL30 PL36 Inciting PL30 PL40 Drawing an unauthorised trailer PL42 Aiding and abetting PL40 PL44 Causing or permitting PL40 PL46 Inciting PL40 PL50 Disobeying conditions of a provisional licence PL52 Aiding and abetting PL50 PL54 Causing or permitting PL50 PL56 Inciting PL50 QI09 GB drivers disqualified in Isle of Man SC19 Section 19 (Transport Act 1981) Disqualification SC35 Section 35 (Transport Act 1981) Disqualification SP10 Exceeding goods vehicle speed limit SP12 Aiding and abetting SP10 SP14 Causing or permitting SP10 SP16 Inciting SP10 SP20 Exceeding speed limit for type of vehicle SP22 Aiding and abetting SP20 SP24 Causing or permitting SP20 SP26 Inciting SP20 SP30 Exceeding statutory speed limit on a public road SP32 Aiding and abetting SP30 SP34 Causing or permitting SP30 SP36 Inciting SP30 SP40 Exceeding passenger vehicle speed limit SP42 Aiding and abetting SP40 SP44 Causing or permitting SP40 SP46 Inciting SP40 SP50 Exceeding speed limit on a motorway SP52 Aiding and abetting SP50 SP54 Causing or permitting SP50 SP56 Inciting SP50 SP60 Undefined speed limit offence SP62 Aiding and abetting SP60 SP64 Causing or permitting SP60 SP66 Inciting SP60 TS10 Failing to comply with traffic light signals TS12 Aiding and abetting TS10 TS14 Causing or permitting TS10 TS16 Inciting TS10 TS20 Failing to comply with double white lines TS22 Aiding and abetting TS20 TS24 Causing or permitting TS20 TS26 Inciting TS20 TS30 Failing to comply with a 'STOP' sign TS32 Aiding and abetting TS30 TS34 Causing or permitting TS30 TS36 Inciting TS30 TS40 Failing to comply with directions of a constable TS42 Aiding and abetting TS40 TS44 Causing or permitting TS40 TS46 Inciting TS40 TS50 Failing to comply with a traffic sign TS52 Aiding and abetting TS50 TS54 Causing or permitting TS50 TS56 Inciting TS50 TS60 Failing to comply with a school crossing sign TS62 Aiding and abetting TS60 TS64 Causing or permitting TS60 TS66 Inciting TS60 TS70 Undefined failure to comply with a traffic sign TS72 Aiding and abetting TS70 TS74 Causing or permitting TS70 TS76 Inciting TS70 TT99 Disqualification due to 12 or more penalty points UT10 Taking and driving away a vehicle without consent UT12 Aiding and abetting UT10 UT14 Causing or permitting UT10 UT16 Inciting UT10 UT20 Stealing or attempting to steal a vehicle UT22 Aiding and abetting UT20 UT24 Causing or permitting UT20 UT26 Inciting UT20 UT30 Going equipped for stealing or taking a vehicle UT32 Aiding and abetting UT30 UT34 Causing or permitting UT30 UT36 Inciting UT30 UT40 Taking/attempting to take a vehicle without cons UT42 Aiding and abetting UT40 UT44 Causing or permitting UT40 UT46 Inciting UT40 UT50 Aggravated taking of a vehicle UT52 Aiding and abetting UT50 UT54 Causing or permitting UT50 UT56 Inciting UT50 XX99 Disqualified under 'totting-up' procedure Z001 Non-RTA - Fraud (Non-endorsable offence) Z002 Non-RTA - Robbery (Non-endorsable offence) Z003 Non-RTA - Theft (Non-endorsable offence) Z004 Non-RTA - Handling Stolen Goods (Non-endorsable) Z005 Prosecution Pending Z006 Parking Offence (Non-endorsable offence) Z007 Section 34 Disqualification (Non-endorsable) Z008 Section 35 Disqualification (Non-endorsable) Z010 Tachograph Offence Z011 Ban From Driving In Any EU Country (Excluding UK)

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true number 12 invalid Conviction points is required

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true minLength 1 invalid Claim date is required true minLength 1 invalid Accident description for is required true number invalid Accident damages cost is required true number invalid Third Party damage cost is required true isSelected invalid Please indicate if the claim was settled in your favour. true isSelected invalid Please indicate if there was any personal injury true isSelected invalid Please indicate if the claim was under any policy in the last 5 years.

Claim 01

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Accident description:  *

Please Select Attempted Theft Attempted Theft Both Cars Reversed - Carpark Both Cars Reversed - Street Driver Cut into TPs Lane Driver Hit Animal Driver Hit Cyclist Driver Hit Immobile Object Driver Hit Parked Vehicle Driver Hit Pedestrian Driver Hit Stationary Car Driver Hit TP Driver Hit TP in Rear Driver Hit TP when TP Braked Driver Ignored Red Light Driver Ignored Stop Sign Driver Lost Control Driver Reversed into Car Driver Skidded Effect of Weather (Storm) Fatal Accident Fire Partial Damage Fire Total Loss Flood Damage Multi Vehicle Collision Object Hit Vehicle Object Hit Vehicle Theft Theft Theft Theft of Vehicle Total Loss Theft Personal Effects Theft Vehicle not Recovered Theft Vehicle not Recovered Theft Vehicle Recovered Theft Vehicle Recovered Theft Vehicle Repairable TP Cut into Drivers Lane TP Hit Driver TP Hit Driver in Rear TP Ignored Red Light TP Ignored Stop Sign TP Swerved & Hit Driver Unknown TP Hit Stopped Insd. Vandalism Repairable Vandalism Total Loss Windscreen Crack Windscreen Smashed

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true minLength 1 invalid Type of cover is required

Type of cover required:  *

Please select Comprehensive Third Party Fire & Theft Third Party Only

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true minLength 1 invalid Number of years no claims bonus is required

Number of years no claims bonus earned on a UK Motorbike policy:  *

Please select 0 1 2 3 4 5 6 7 8 9

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