DriverPlan

insurance to protect your driveability

DriverPlan is a trading style of Provide Solutions Limited which is regulated by the Financial Services Authority: no. 314237

2004-2010 ©Provide Solutions Limited

E&OE

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Application

Before you apply, make sure that you meet the conditions of the selected policy.

Here is the DriverPlan Key Facts statement - part of our Financial Services Authority compliance. If you require this document in a durable medium, please contact us.

For corporate discounts click here.

Questions?

If you have any other questions, or would like information on non-corporate group discounts, email info@driverplan.co.uk.

Online application for immediate cover

Title

Initials

Surname

Address

County

Postcode

Telephone

Email

Date of birth (D/M/Y)

Occupation

Where did you hear about DriverPlan?

Motor Insurance renewal month

Penalty Points

Any pending motoring prosecutions?

No Yes

If yes to above question, please enter details.

Any medical conditions that affect you?

No Yes

If yes to above question, please enter details.

Select your policy

	Driverguard Plus
	Driverguard Premier
	Driverguard Executive
	Driverguard Elite

Policy cost (£):
(including Insurance Premium Tax)

Untick this box if you don't want to include your spouse/partner.
You get a 50% discount on the lower premium if you apply for this now.

Spouse/Partner details

Title

Initials

Surname

Address

County

Postcode

Telephone

Date of birth (D/M/Y)

Occupation

Penalty Points

Any pending motoring prosecutions?

No Yes

If yes to above question, please enter details.

Any medical conditions affecting your spouse/partner?

No Yes

If yes to above question, please enter details.

Select the policy for your spouse/partner

	Driveguard Plus
	Driveguard Premier
	Driveguard Executive
	Driveguard Elite

Policy cost before discount (£):
(including Insurance Premium Tax)
Note the lowest price policy attracts the discount

Total cost of policies
(including discounts and IPT)

Policy. I am applying for this policy subject to the policy terms and conditions detailed in this website, which I have read, and I agree that this application shall form the basis of the contract for the insurance and that if anything be untruly stated or so withheld as to influence the decision of the insurer - either now or afterwards - the contract or agreement shall be voidable at the option of the insurer.

DriverGuard policy wording

Data Protection. The information supplied will be held by DriverPlan, Isle of Man Assurance Limited and its associate companies. Privacy policy.

I have read the policy terms and conditions, the key facts statement and agree to both.

Member get Member

If you have been recommended by an existing Driverguard policyholder, you should enter both their name and policy number here so that they receive M&S vouchers. Of course, once you have received your policy, you can also benefit from this scheme.

Name
Policy number

Next steps. The following page will allow you to review the information that you have entered before selecting a payment method.

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