Please enable JavaScript in your browser to complete this form. - Step 1 of 3Title *First Name(s) *Surname *Address *Post CodeTelephone Number *Email *Date of Birth *Occupation *Date passed UK driving test *Is there a second proposer? *NoYesTitle *First Name(s) *Surname *Date of Birth *Occupation *Are you the sole owner of the caravan? *Please SelectYesNoPlease give details of second owner *Have you had any claims or losses during the last 3 years with any caravan owned hired or used by you? *Please SelectYesNoDate of Claim *Type of Claim *Please SelectFireStormTheftOtherWhat was the claim for? *What was the cost of the claim or loss *Please SelectUnder £2,500Over £2,500Are there are any further claims or losses within the last 3 years with any caravan owned, hired or used by you to declare? *NoYesDate of Claim *Type of Claim *Please SelectFireTheftStormOtherWhat was the claim for? *What was the cost of the claim or loss *Please SelectUnder £2,500Over £2,500Are there are any further claims or losses within the last 3 years with any caravan owned, hired or used by you to declare? *NoYesPlease give full details for claims or losses *Has any insurer refused cover, cancelled or cover or applied special terms to your policy? *Please SelectYesNoPlease give details *Have you or any person residing with you been subject to any declaration of bankruptcy or been convicted or charged of any offence than driving? *Please SelectYesNoYou do not have to disclose convictions regarded as "spent" under the Rehabilitation of Offenders Act 1974Please give details *NextCaravan Make *Model *Year of Make *Serial of CRIS numberIf availableIs the caravan a single or twin axle? *Please SelectSingle AxleTwin AxleNumber of years claims free driving? *Please SelectNone1 year2 years3 or more yearsNumber of years claims free caravanning? *Please SelectNone1 year2 years3 or more yearsHow many years caravan towing experience do you have? *Please SelectNone1 year2 years3 or more yearsHave you completed any caravan courses *NoYesDoes the caravan have a security alarm fitted? *NoYesDoes the caravan have an AL-KO chassis secure wheel lock fitted? *NoYesDoes the caravan have an active tracker or phantom tracking device fitted? *NoYesCover Required *Please SelectMarket ValueNew for OldNew for Old cover is available for caravans up to 10 years old. New for old cover means that in the event of a total loss the caravan and its equipment will be replaced with brand new equivalents. Market Value cover means that the caravan is insured for the current second hand value. Caravan Value (including fixtures and fitting but excluding equipment, awnings and contents) *If "New for Old" cover is required the value should reflect the cost of replacing the caravan and its equipment AS NEW with no deduction to reflect age wear and tear.Would you like to include optional equipment cover? *Please SelectYesNoEquipment includes refrigerators, gas bottles, steps, balconies, batteries, stabilisers, wheel clamps, generators, motor movers and the like and which is the sole property of the insured, but excluding awnings.Total value of equipment *Would you like to include optional contents cover *Please SelectYesNoContents cover includes articles of personal use, clothing, luggage and general household goods, including portable television sets whilst contained within the caravan and belonging to the insured.Total value of contents *Would you like to include optional awning cover? *Please SelectYesNoOnly available if your awning is less that 15 years oldWhat value does your awning need to be insured for? *Please SelectUp to £1,000Up to £2,500NextWhat is the storage location of the caravan? *Please SelectDriveway at home or within boundary of your gardenRegistered caravan site or caravan storage compoundCassoa registered storage compoundDriveway of close relative or friendFarm storage compoundOtherIs the driveway a communal driveway or private driveway? *Please SelectCommunal drivewayPrivate DrivewayWhat is the perimeter security to the compound? *Please SelectPalisade fencing minimum height 5 feet (1.52 metres)Hawthorn hedge minimum height 5 fee (1.52 metres)Stone/brick wall minimum height 3 feet (0.9 metres)Metal fencing minimum height 5 feet (1.52 metres)No fencingOtherPlease describe the perimeter security for the compound *Are there locked gates to ALL exit/entry points at all times? *Please SelectYesNoIs CCTV installed at the location? *Please SelectYesNoApproximately, how many caravans are there on the site/compound? *Has the caravan storage site or compound had any caravan which has suffered any loss or damage by storm, flood, theft or vandals? *Please SelectYesNoSite/compound name *Site/compound address *Site/Compound postcode *Storage address *Storage post code *Who lives at this address? *For example, friend, parent, employer.Do you require an additional caravan storage address? *NoYesWhose address is the secondary storage location? *For example, name of the company, caravan site/storage compound, family member or friend.Address for secondary storage *Post code for secondary storage *What level of policy excess do you require? *Please Select£100£150£250£500Do you require European foreign towing cover extension? *Please SelectYesNoWould you like to include optional legal protection cover? *Please SelectYesNoThis covers legal costs of up to £50,000 and is administered by Arc Legal Assistance Ltd, and covers incidents directly connected with the caravan whilst the policy is in force and provides cover for legal advice when pursuing claims for uninsured losses or personal injury whilst using the caravan.Will the caravan be used at any time for towing on the road? *YesNoIs the caravan occupied as a permanent residence? *YesNoWill the caravan be let out for hire? *YesNoWill the caravan ever be used for business purposes? *YesNoDo you wish to increase your legal liability to the public from £2 million to £5 million? *YesNoIf you have any specific questions or you are unsure of any of the answers given, please advise belowSubmit