• Main Driver/company will be considered as the Registered Keeper and Owner of the vehicle (if this is not correct please note this in the additional information box).
  • Each driver/company/director has NO medical Conditions, NO non-Motoring Convictions, Never Been declined Insurance or had an insurance Cancelled. Company or Directors never suffered Bankruptcy/CCJ.
  • We can provide Quotes on all three Basis, Comprehensive, Third Part Fire & Theft and Third Party Only. Both NCD protect and not protected. Please advise if No claim Bonus protection required where requested.
  • If you do not fulfil these, don't worry call us or fill in details in our additional information box and we shall find an insurance cover appropriate for you


Click the 'next' button to progress through the form and completing all the required information


Personal Details


Vehicle Schedule

If more than three vehicles, upload a document using the upload button on 'Claims Experience' or email fleets@gillinsurance.co.uk


Make & Model
No Claims Bonus
Registered Owner




Claim Experience

If more than three vehicles, upload a document using the upload button email fleets@gillinsurance.co.uk

If this is a new venture, please confirm the number of claims that occurred in the last 5 years. If no claim bonus available on each vehicle please advise.

Upload File


Who is at Fault?
How much Paid Out
Any Linked Convictions

Additional Information

Please use the additional information box to include any material facts or additional information not already stated.


Ready to Send

Please check the information provided using the 'next' and 'back' buttons, making sure all required fields are complete. Click 'Send Quote' to submit your details.