This form is based on these conditions. Please read them carefully and confirm that you and all drivers meet them:
Where You’ve Lived: You and all drivers have lived in the Channel Islands or the UK for at least 2 years.
No Convictions: You or anyone who will be driving the vehicle do not have any unspent criminal convictions, have not been charged with any criminal offence (but not yet tried) or have any convictions pending.
Health to Drive: All drivers are medically fit to drive. Any health issues affecting driving have been reported to the local driving authority.
No Changes to the Car: The car hasn’t been modified - it’s the same as when it came from the manufacturer.
Who Owns the Car: You are the registered owner of the car.
Driving Abroad: Your policy provides limited coverage for trips outside the Channel Islands. Depending on the situation, you may be able to extend your coverage for an additional charge.
No Financial or Insurance Issues: No one driving has been bankrupt, had court judgments, or made payment deals with creditors. No one driving has had insurance refused, canceled, or been given special terms.
Tick this box if all these points are true If you or any drivers don’t meet these conditions, it’s essential to let us know. Not telling us could make your policy invalid, leaving you without cover when you need it most. If you’re unsure about anything, contact us directly - we’re happy to help.
Please fill in the additional driver's details accurately.
Maximum number of entries reached.