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Thank you for your interest in the Provisional Marmalade Learner Driver Insurance Policy provided by Chaucer Insurance.

Before you start, you should read through our Initial Disclosure Document that gives important information about Provisional Marmalade and the services we offer.

Please confirm that you have read the Initial Disclosure Document by ticking here:
Please tick to confirm you have read the Initial Disclosure Document
Please answer all questions below...
Have you had any accidents in the last 3 years?  
Have you had any convictions in the last 3 years?  
Are you a professional sportsperson or musician?  
Have you any defect in vision, or hearing, or mental or physical infirmity, disorder or disease (including diabetes, epilepsy or heart condition)?
Do you have a valid UK provisional Licence?  

Please also read through the following information to confirm that you qualify for the policy:

  • The policy is only suitable for provisional drivers who wish to insure a vehicle in which they intend to practice.
  • The policy only provides cover when you are supervised by a qualified driver, aged 25 or over, who has held a full driving licence for more than 3 years.
  • This policy is not suitable as the main insurance for a vehicle owned by yourself. It is designed as a secondary insurance whilst you are driving a car owned by someone else. The vehicle must remain insured by the main owner at all time.
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Driver's Personal Details

Please enter the following information about the Learner Driver:

Your Title*  
Your Forename*  
Your Middlename(s)  
Your Surname*  
Your Date of Birth*  
Find your address
Look Up My Address
Address Line 1*  
Address Line 2  
Address Line 3  
Town*  
County  
Your Post Code*  
Employment Type*  
Nature of Employers Business*  
Occupation*  
Telephone Number  
Email*  
Confirm Email*  
Password*  
Confirm Password*  
Date obtained Provisional Licence*  

Fields marked * are mandatory

Please enter all mandatory fields...
The email addresses you entered do not match...
The passwords you entered do not match...
Next Stage

Vehicle Details

Please enter the following information about the vehicle you want to insure under this policy:

Enter Registration Number:*  
Look Up Vehicle
Make:*  
Model:*  
Registration Number:*  
Year of Manufacture:*  
Insurance Group:*  
No Vehicle Selected...
Purchase Date:*  
How is the Vehicle Kept Overnight:*  
Postcode where vehicle is kept:**  
Present Value:*  
Who Owns the Car:*  
Name of Owner:*  
Insurance Company who provide the main insurance for the vehicle:*  

Fields marked * are mandatory
** This field is mandatory and may affect your premium

Please select a Vehicle Make...
Please select a Vehicle Model...
Please enter all mandatory fields...
Please enter the value as numeric only...
The value of the car must be greater than 0...
Last Stage
Next Stage

Where did you hear about us?

Please select from the list below. If your option doesn't appear please choose "Other" and you can specify where you heard about Provisional Marmalade.

Please select:*  
Other:  

Fields marked * are mandatory

Please select a option...
Last Stage
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Cover Details

Please select the type of policy you require:

Period of Cover:*
  
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Start Date of Policy:*  

Please confirm that all of the following statements apply to you:

  • I confirm that all of the above information is correct and I wish to proceed with the purchase of my Learner Driver insurance policy.
  • I confirm that I hold a UK provisional driver's licence.
  • The vehicle I am insuring is valued less than £20,000.
  • I confirm I will only be supervised when driving by a person over 25, who holds a current full UK driving licence and has held a full UK driving licence for more than three years.
  • I have not been involved in any accidents in the last 3 years and I have no motor convictions or motor convictions pending.
  • I confirm that my main income is not derived from Entertainment or professional sport.
  • I confirm I understand this policy and its cover ceases when I pass my full UK driving test.
  • I confirm that the vehicle has not been modified from the manufacturers original specification.
  • I confirm I understand this policy only operates in the Territories of England, Wales, Scotland and Northern Ireland.
  • I confirm that I have never been charged or convicted of a criminal offence or is any prosecution pending.
  • I confirm that I have never had any motor proposal declined, policy cancelled, renewal refused or been required to pay an increased premium.
  • I confirm that I have never had any special terms imposed by a motor insurer.
All of the above statements apply to me and I wish to proceed with a Provisional Marmalade Learner Driver Insurance Policy.
I have read and understood the Policy Summary for the Provisional Marmalade Learner Driver Insurance Policy.
I would like to receive your newsletter.

Fields marked * are mandatory

Please enter all mandatory fields...
Sorry, please select the type of cover you require...
Sorry, the start date must be within the next 30 days...
Sorry, you must confirm all statements apply to you before proceeding...
Please note that the policy must not be started before the driver attains the age of 17...
Last Stage
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Personal Details
Vehicle Details
Where did you hear about us?
Select Cover
Payment
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