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General Insurance Services
Motor Fleet Insurance

Small and large fleets as well as single vehicle

If you would like to receive a quote for Motor Fleet Insurance, please download the form. Alternatively, please fill in all the fields on the online form and click send.

Personal Details
Title:
First Name:
Surname:
Correspondence Address:
Post Code:
Telephone No:
Email Address:
Risk Address:
(If different from the
Correspondence Address)
Post Code:
Full description of
business activities:

Insurance Details
Commercial Vehicles:
(Please give details)
Private Cars:
(Please give details):
Other Vehicles:
(Please give details)
Driving Requirements:
e.g. Named drivers, Drivers over 25
Any Accidents or Convictions?:
(if yes, please give details)
Current Insurer:
Renewal Date:    dd/mm/yy
Have you made any claims
over the past 5 years?:
(if so please give details)
   
Agent Ref :    (if applicable)
   
     
AHS Insurance Ltd, Alexandra House, Alexandra Road, Swansea, SA1 5ED    Telephone: 01792 465141    Fax: 01792 643237
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