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© 2025 Prestige Insurance Brokers (UK) Limited

Fact find questionnaire

for MOTOR TRADERS

FILL OUT THE FORM BELOW TO GET AN INSURANCE QUOTE

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Contact name

Phone

Email

Insurance renewal date

Current insurer

Premium target

Business Name

Trading name

Status of entity

Company registration number:

Date established

Years of experience

Business description

Please list all the services undertaken

Address of the business premises

Would you like to add different address for correspondence?

Yes
No

Please provide your correspondence address:

How many Directors and/or Partners the Proposer have in total?

1
2
3
4

1) Full name / Date of Birth / Position within the company

2) Full name / Date of Birth / Position within the company

3) Full name / Date of Birth / Position within the company

4) Full name / Date of Birth / Position within the company

Select if any of the following that apply to any Director or Partner:

been declared bankrupt or insolvent or been the subject of bankruptcy proceeding or insolvency proceeding
had a proposal refused or declined
had an insurance cancelled
had a renewal refused
had special terms imposed
Not applicable

Select if any of the following that apply to any Director or Partner:

been the owner or director of, or partner in, any business, company or partnership had a CCJ awarded against them
been disqualified from holding company directorship
been served with prohibition or improvement order under health and safety regulation
been the subject of a recovery action by Customs and Excise or the Inland Revenue
Have CCJ and Sheriff Court Decrees
Not applicable

Current annual business turnover

Percentage split of the business turnover:

Sales:

MOT:

Service:

Second Hand Parts:

Repairs:

Turnover made on ECU Map:

New Tyres:

Part Worn Tyres:

Do you specialise in customising, modification or other major alteration works to vehicles?

Yes
No

If yes, provide details, please

State percentage of the work split between:

Motor Cars

Sports or High Performance Cars

Veteran / Vintage or Classic Cars

Light Goods Vehicles

Heavy Goods Vehicles

Motorcycles

Buses, Coaches & over 8 seats

Agricultural Vehicles & Mobile plant

Others (Please specify)

Are you a sub-dealer for any Motor Manufacturer?

Yes
No

If yes, provide details

Is the business a member of Trade Association?

Yes
No

Provide details:

Are the premises solely occupied by this business?

Yes
No

Is there a full separation between the different business activities at the premises?

Yes
No

Are the premises occupied 24 hours a day?

Yes
No

Business hours:

Have the premises been previously affected by flood?

Yes
No

Are the premises at risk of flooding or situated within 250 metres of a watercourse, canal, lake, reservoir or dam?

Yes
No

Are the water pipes protected against freezing?

Yes
No

Is there a Health & Safety policy in force and up to date?

Yes
No

Is there a Health And Safety - Training Officer Appointed?

Yes
No

Is the property built on made up ground?

Yes
No

Has the Electrical system been inspected in the last 6 years and been certified IEE (or equivalent) compliant?

Yes
No

Do you have a test certificate?

Yes
No

Has the property or and adjacent property previously suffered from any subsidence, heave or landslip?

Yes
No

Are there any trees (in excess of 10m in height) within 10 metres of the property?

Yes
No

Does the building have any visible signs of cracks?

Yes
No

Have the premises been surveyed in the past five years?

Yes
No

Does the business have any employees?

Yes
No

Employer PAYE No

Total number of employees

Are all employees paid below PAYE threshold?

Yes
No

(inc. LOSC, trainees, apprentices)

Estimated Annual Wageroll:

For Principals and Partners

For Clerical and Sales Employees

For Mechanics/ Fitters/ Technicians

For Pump Attendants and Cashiers

Does your company own any vehicles?

Yes
No

How many own vehicles the company have?

1
2
3
4
5
6 or more

1st Vehicle Make / Model / Engine size / Registration number / Value

2nd Vehicle Make / Model / Engine size / Registration number / Value

3rd Vehicle Make / Model / Engine size / Registration number / Value

4th Vehicle Make / Model / Engine size / Registration number / Value

5th Vehicles Make / Model / Engine size / Registration number / Value

6th and Other Vehicles Makes / Models / Engine sizes / Registration numbers / Values

If there is more than 6 vehicles, please list each vehicle in number order.

Number of Drivers

1
2
3
4
5
6

1st Driver

Full Name/ DOB / Home address / Occupation / Years of driving experience / Years of NCD

Driver Driving Licence number / Licence Type / Licence Expiry Date

2nd Driver

Full Name/ DOB / Home address / Occupation / Years of driving experience / Years of NCD?

Driver Driving Licence number / Licence Type / Licence Expiry Date

3rd Driver

Full Name/ DOB / Home address / Occupation / Years of driving experience / Years of NCD?

Driver Driving Licence number / Licence Type / Licence Expiry Date

4th Driver

Full Name/ DOB / Home address / Occupation / Years of driving experience / Years of NCD?

Driver Driving Licence number / Licence Type / Licence Expiry Date

5th Driver

Full Name/ DOB / Home address / Occupation / Years of driving experience / Years of NCD?

Driver Driving Licence number / Licence Type / Licence Expiry Date

6th Driver

Full Name/ DOB / Home address / Occupation / Years of driving experience / Years of NCD?

If there is more than 6 drivers, please list each driver in number order in the additional box in the end of the form.

Driver Driving Licence number / Licence Type / Licence Expiry Date

If there is more than 6 drivers, please list each driver in number order in the additional box in the end of the form.

Please select if any of the following options apply to any of the company driver?

Does not have a licence issued by DVLA
Has any notifiable medical conditions of which the DVLA should be aware
Had any convictions or pending prosecution in past 5 years
Had any driving accidents, claims or losses in the last 3 years
Had car insurance withdrawn or subjected to an increased rate or special conditions
Not applicable

Please state the name of the relevant driver

Year the property was built?

Number of years at this address?

Number of years trading elsewhere?

Description of the premises type:

What is the total number of stories in the building?

What main materials are the property walls made of?

Please provide percentage split, if the walls are made of more than one material

What materials is the property roof made of?

Please provide percentage split, if the roof is made of more than one material

Is there any area of the roof flat?

Yes
No

Please state the approximate percentage of the roof being flat?

Please describe the materials used for floors, staircases, internal partitions and the type and extent of any composite (sandwich) panels used; their location in the building and the type of core material (PIR, PUR, etc.) including age and condition.

Please select the type of the property heating?

Hot Air
Portable Heaters
Radiators - Hot water filled
Radiators - Oil filled
Night Storage Heater
Gas Central Heating
Electric Central heating
Fire - open
Oil Heater
Pressure Jet Heater
Radiant Panel Heater
Stove
Underfloor heating
Other
No heating

Do you use Welding Plant or equipment?

Yes
No

If yes, please state percentage of turnover

Are FEA’s installed and regularly maintained?

Yes
No

Is there any spraying?

Yes
No

If so, is there a proprietary built spray booth with extraction?

Do you use Angle Grinders?

Yes
No

Do you use Hot Air Guns?

Yes
No

Do you use Blow Torches?

Yes
No

Do you use Flame Cutting Equipment?

Yes
No

Do you use Soldering Equipment?

Yes
No

Do you use Blow Lamps?

Yes
No

Are PHT boxes secured to fabric of the building or vehicle lifting platforms?

Yes
No

Select Risk Management Features that are currently active for this property:

Intruder Alarm
Wired Fire Alarm
Sprinklers
Electrical Installation Inspected Regularly
Trade waste stored in metal containers / removed weekly
Vehicle keys are kept in a proprietary key cabinet in a secure area

Name of the intruder alarm

What type of signalling your alarm has?

Redcare
Digicom
Bells only
Other

Is the alarm connected to the Police response?

Yes
No

Sprinklers accreditation details

Select Risk Management Features that are currently active for this property:

CCTV ( 30 days recording)
Access Control
Shutters
Window bars
Dwarf walls
Security Guards
Wheel clamps
Palisade fencing
Security Post / Hoops
Other
None

Select Risk Management Features that are currently active for this property:

Vehicles regularly checked, findings recorded, any faults remedied and documented
All Machines Properly Guarded
Employee driving incentives in place
Computer record back-up & off-site storage
Maintenance Prog In Force For Building/Plant/Fire Extinguishing Apps
Employee induction programme
Driving licences checked before permitting new driver to drive & at least annually thereafter
Business Continuity Plan

What type of vehicle key security do you practice overnight?

What type of vehicle access to the site including gates / barriers the premises have?

Provide height of walls, fences and gates

What is your method of locking you exit door?

Please specify type of door locks

Please specify type of window locks

Does the business own the building?

Yes
No

What is the estimated total value of the building? (Including fixed glass, landlords fixtures/fitting)

Estimated value of Tenants Improvements

Annual amount of rent payable

Value of the Machinery & Plant

Value of Stock (Excluding vehicles)

Value of the Computer & Ancillary Equipment

Value of Portable Hand Tools(

Value of (own) Motor Vehicles in Compound:

Cover required for Customer Vehicles:

Cover required for Motor Vehicle (Stock) in Open:

Cover required for Contents of Customer Vehicles:

Do you require to cover Money in Safe or Strongroom in the Premises?

Yes
No

What is the Safe Make? / Model ?/ Description /? How is it secured?

Sum contained in a locked safe:

Sum not in a locked safe:

Sum on premises during business hours:

Sum on premises outside business hours:

What's the amount of annual cash carrying by you?

What's the amount of annual cash carrying by security company?

Has the business made any MOTOR INSURANCE claims within the last 5 years?

Yes
No

Claim history within the last 5 years: (Date of claim, Cause of the Claim, The Claim Amount & the Outcome for the business and the third party.

Have the business made any NON-MOTOR INSURANCE claims within the last 5 years?

Yes
No

Claim history within the last 5 years: (Date of claim, Cause of the Claim, The Claim Amount & the Outcome)

Any additional information?

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Phone

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© 2025 Prestige Insurance Brokers (UK) Limited - Appointed Representative of TEn Insurance Services Ltd, trading as Eleven, which is authorised and regulated by the Financial Conduct Authority (FRN 314593)