MotorCycle Direct | Motorbike Insurance
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Please take reasonable care to ensure all of the details you enter are correct and accurate.

RIDER DETAILS

Title  *

Please select your title

Your name (the proposer):

Please enter your first name and surname.

Your gender?  *

Please select your gender

Date of birth  *

Please enter a valid date of birth

Tip

Please enter your date of birth in the format DD/MM/YYYY.

Type of motorcycle licence?  *

Please select your motorcycle licence type.

Tip

You must have successfully completed either the full UK car licence before February 2001, CBT or a full Motorcycle test for us to offer a quotation.

Licence held since  *

Please enter a date for your licence

Tip

If you do not know the exact date, please enter an approximate date.

What is your main employment status?  *

Please select your employment status

Do you have an additional occupation?  *

Please select your additional occupation

Date of residency in UK  *

Please enter a valid date of residency in UK

Marital status?  *

Please enter your marital status.

Tip

A civil partner is someone who you have a legal association with and is not classed as a common-law partner.

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

Please select Yes or No

Tip

This does not include declined due to insufficient No Claims Discount, driving experience, age or lack of fitted security.

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

Please select Yes or No

Tip

An unspent conviction is one which, under the terms of Rehabilitation of Offenders Act 1974, is classified as unspent. If you are unsure whether your conviction is unspent, please refer to https://www.gov.uk/government/publications/new-guidance-on-the-rehabilitation-of-offenders-act-1974.

Do you have any advanced motoring qualifications?  *

Advanced motoring qualifications is required

Do you have access to other vehicles?  *

Please specify any access to other vehicles

Who will be riding the bike?  *



Please specify who will be riding the bike

Tip

The Policy Documentation refers to 'You' as the 'Proposer'

Number of named riders  *

Number of named riders is required

CONTACT DETAILS

Email  *

A valid email address is required

Tip

Please provide us with your email address, this will be used to contact you about your insurance cover should the need arise. It is important that you provide us with an accurate email address as this will be used to send you confirmation of your payment.

Please confirm your email  *

A valid email address is required

Tip

Please provide us with your email address, this will be used to contact you about your insurance cover should the need arise. It is important that you provide us with an accurate email address as this will be used to send you confirmation of your payment.

Contact mobile telephone number  *

A valid phone number is required

Tip

Please provide us with a contact telephone number, this number will be stored on our secure database for us to contact you with regards to your policy should the need arise.

Postcode  *

A valid postcode is required

House name or number  *

Please enter house name or number

Street name  *

Street name is required

Town/City  *

Town/City is required

County  *

County is required

What type of property is this?  *

Please select your property type

Are you a homeowner?  *

Please indicate if you are a homeowner
MotorCycle Direct may wish to contact you at a later date with other insurance products or services which may be of interest to you by post, telephone, SMS or email.
Please untick the box if you do not wish to be contacted by us:

CLAIMS & CONVICTIONS

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?  *


Number of claims is required

Tip

We need to know details of all types of damage and accidents such as fire, theft, glass, malicious damage; including details of all incidents where you were not at fault or were driving a different vehicle.

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 for any motoring offence?  *

Number of convictions is required

Tip

If your prosecution is pending you don't need to enter the detail at this stage, however you are obliged to make MotorCycle Direct aware if you receive the conviction.
Conviction 01

Date of conviction  *

Conviction date is required

Tip

If you do not know the exact date, please enter an approximate date. This is not the date of the offence.

Conviction code  *

Conviction code is required

Tip

A 'spent conviction' is a conviction which by law you do not have to declare after a specified amount of time. If however you have received a prison sentence of four years or more, you will always need to declare it.

How many points received? (please enter 0 if no points received)  *

Conviction points is required

How much was the fine? (please enter 0 if no fine received)  *

£
Conviction fine amount is required

If a ban was received, how many months was this for? (please enter 0 if no ban received)  *

Conviction ban months is required

Remove this conviction
Claim 01

Date of claim  *

Claim date is required

Accident description  *

Accident description for is required

Total cost of own damage (Please enter 0 if no cost)  *

£
Accident damages cost is required

Tip

Please enter approximate cost if actual cost is not known.

Total cost of Third Party damage (Please enter 0 if no cost to third party)  *

£
Third Party damage cost is required

Tip

Please enter approximate cost if actual cost is not known.

Third party damage is damage to other property (including vehicles) which is not owned by you or named drivers.

Was the claim settled 100% in your favour?  *

Please indicate if the claim was settled in your favour.

Tip

This means that any excess which you paid was refunded, in addition to all costs and fault being assumed by the other party or their insurer.

Was there any personal injury?  *

Please indicate if there was any personal injury

Remove this claim

COVER DETAILS

Type of cover required  *

Type of cover is required

Tip

Comprehensive covers accidental damage to the driver's vehicle in addition to third party fire and theft.
Third Party, Fire & Theft covers fire and theft of the driver's vehicle in addition to third party only cover.
Third Party Only covers any claim by third parties. This does not cover damage to the driver's own vehicle.

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

Number of years no claims bonus is required

Tip

This must be the number of years No Claims Bonus (NCB) you are entitled to from your most recent motorcycle policy. All of our insurers accept a UK NCB dated within the last 2 years. If you go on to buy an insurance policy with MotorCycle Direct, you will be asked to provide proof of your No Claims Bonus.

How many years no claim bonus have you earned on a UK private car policy  *

Number of years no claims bonus for a car is required

What is your estimated annual mileage?  *


Please enter a valid number for mileage

Tip

Please enter the approximate number of miles driven by the vehicle in a year to the nearest thousand miles.

Would you like to pay for your insurance by direct debit?  *

Please select Yes or No

When would you like cover to start?  *


  
Please select a date

Tip

A valid cover start date is required (today or within next 30 days).

© 2018 All Rights Reserved
Europa Group Limited t/a MotorCycle Direct is authorised and regulated by the Financial Conduct Authority. Europa Group Limited's Financial Services Register number is 309794. Registered as a limited company in England and Wales No 3279177. Registered office: Europa House, Midland Way, Thornbury, Bristol, BS35 2JX.


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