About your Courier Business/Vehicle(s):

How many years as a courier?

Type of vehicle:

GVW:

Year of make:

Value of vehicle:

About you:

Your age:

Number of years driving:

Previous occupation if just started:

Claims in the last 3 years?

Convictions in the last 5 years?

Do you have a no claims bonus? If so please state number of years:

Goods In Transit:

We assume you carry under your 'employers' or Principals conditions of carriage. Do you know the indemnity limit or the compensation per kilo that they offer the customer? (If in doubt we will check this for you with your Principal)

Indemnity limit (per vehicle):

Compensation per kilo:

Liability Insurance:

Do you employ anyone full time or casual to drive or work for you?

Do you employ anyone full time or casual to keep your books or accounts?