Motorsport Insurance – Driver Questionnaire

Either download and fill in the PDF linked below and email it to us at info@sportsalive.co.uk, or fill in the online form for a fast quote

Name*

Enter your full name

Date of Birth**

Enter your date of birth

Address

Your address

VAT Number (if applicable)

VAT number if applicable

E-mail*

Enter a valid email

Phone number

Enter your phone number

Please confirm the number of years you have held a racing licence / type of licence*

Racing licence details

Are you looking for track day cover or event cover?

What'ja doin'?

Please supply full details of your racing / track day experience over the last 10 years, including details of all categories participated in and your yearly results

Experience details

Please provide your relevant experience racing in the vehicle to be insured

Experience in the vehicle to be insured

Vehicle to be insured

Go on, give us a challenge!

Estimated value of vehicle to be insured (just a number - no currency symbol)*

How much???

Do you want to insure the full amount?YESNO

If "NO", how much do you want to insure?*

Date

When are you racing?

Track /. Circuit location

Where - we might come and watch!

Have you had any motor racing incidents in the last 3 years, whether insured or not?YESNO

Have you?

If yes, please give details:

Vehicle 1

Vehicle 2

Vehicle 3

Date

Circuit and Series

Circumstance of incident

Cost fo repair (if you do not know the exact cost, please state level of damage to the car)

Anything else you'd like to tell us to help us with your quote?

I CONFIRM I HAVE ENTERED ALL INFORMATION AS ACCURATELY AS POSSIBLE, AND I UNDERSTAND THE INSURER WILL CHECK DRIVE RECORDS FROM INDEPENDENT SOURCE, AND I UNDERSTAND THAT FAILURE TO DO THIS MAY INVALIDATE ANY FUTURE CLAIMSYES