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Total Annual Mileage
Your Tax Rate
Date of Birth
Are you an Essential User ?
Your Gender
Have you had more than one at fault accident in the last 3 years ?
Have you had more than 2 category A convictions in the last 3 years ?
Is the vehicle fitted with a tracking device ?
Is the vehicle garaged ?
How many years no claims bonus do you have ?
Who will drive the vehicle ?

Your insurance is only valid if you meet the following criteria:

You have been employed for a minimum of 6 months and resident in the UK for at least 2 years
All drivers are not resident in the Republic of Ireland or elsewhere outside of the UK
All drivers are aged 18 or above
No convictions starting AC, BA, CD, DD, DR, IN, MS, TT, UT in the last 5 years
No more than 1 fault claim for all insured drivers in the last 3 years
No more than 2 category 'A' convictions for all insured drivers in the last 3 years

If you are unsure as to your legibility for insurance on the scheme please contact or call TCH Salsa at Lloyd Latchford on 01844 276196

Please tick the boxes below to confirm you have read, understood and accept the terms.

It is essential that you read through the Policy and Key Facts to ensure that all the details are correct and that the cover provided meets your needs. To download copies of the insurance Policy and Key Facts documents you can do so here :

The Policy forms the basis of the insurance contract for the cover as set out. It is therefore important that you have disclosed all material facts. Failure to disclose such facts may result in claims not being met. If you are in any doubt about whether a fact is material, you should disclose it.

Your insurance policy provided with your vehicle may be supplied by Aviva or Allianz Insurance however the policy terms and conditions are exactly the same.

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