Safely Insured - Short Term Car Insurance

Please answer all questions honestly and to the best of your knowledge. Failure to do so could affect your level of cover or any claims you make.

When do you want to start cover from?

Start date

Select a time

Reason for cover

Enter vehicle details

Do you have the vehicle registration number

Yes No

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Enter driver details

Date of birth

Postcode

What driving licence do you hold:

Driving licence country of issue

How long have you held that licence for?

When did you obtain your licence?

/ /

Additional driver details

Would you like to add an another driver?

Yes No

Their date of birth

Their postcode

What driving licence do they hold:

Driving licence country of issue

How long have they held that licence for?

When did they obtain their licence?

/ /

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Cover details

How long do you require cover for?

Your chosen excess

Do you require Comprehensive cover to drive in Europe?

Yes No

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