Motor Vehicle

When you need broad cover at competitive prices, just ask your EBM account manager for advice. Our motor vehicle insurance team will research the most suitable policies for your vehicle type and driving requirements (eg, work or family or both, long distance or city driving, vehicle age etc), and make sure you get exactly the cover you need. If you need to make a claim, our friendly staff will do everything possible to get you back on the road quickly.

If you would like a quote for your Motor Vehicle policy, please complete the below form. Once submitted one of our brokers will prepare a quotation and be in contact with you.

If you would like a quote for your Commercial Motor Fleet, please contact us via the Quick Contact Form on the right and a broker will be in contact with you.

Privacy

We are committed to protecting your privacy. We use the information you provide to advise about and assist with your insurance and/or financial planning needs. We only provide your information to insurance companies, underwriting agencies, wholesale brokers and premium funders with whom you choose to deal (and their representatives). We do not trade, rent or sell your information. If you don't provide us with full information, we can't properly advise you and you could breach your duty of disclosure. You can check the information we hold about you at any time.

For more information about our Privacy Policy, ask us for a copy or view here. By completing the request below, I certify that I am aware that any collection of personal information is used in accordance with EBM's Privacy Policy.

*Required Fields

Driver Details:

Vehicle Details:

Was the car purchased as new in the last 12 months?

Type of parking*:

Type of Cover ?

Market Value

Market Value means the insurers assessment of the value of your vehicle or other covered property immediately prior to any loss or damage.

Agreed Value

Agreed Value means the amount shown in the policy schedule as your sum insured. Note. Agreed Value is not available on all vehicles.

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Finance:

Optional Benefits:

NCB Protection*: (one at fault claim per year without reduction in NCB)

Hire car following an accident*:

Windscreen Protection*: (one windscreen/window claim per year without the application of excess or loss of NCB)

Tools of Trade*:

Voluntary Excess:

Is a voluntary excess for reduction in premium to be included in the quote:

If yes, how much?

Loss History - has the registered owner/insured &/or any driver to be nominated in the policy:

1. Has any insurer refused or cancelled cover on any of your policies or required special terms to insure you in the past 12 months?*

2) Have you, or any person who will drive your car(s), in the past 12 months

a) Been charged with, or convicted of, or penalised for, any motoring offences? (This includes on the spot fines but does not include parking offences)*

b) Had a driving licence suspended, cancelled or restricted by endorsement?*

c) Been charged or convicted of any criminal offence?*

3) Has your car been modified or converted from the Maker's specifications or fitted with accessories other than those supplied as Maker's options?*

4) Are there any other material facts that you need to tell us? (refer to your policy booklet)*

If yes to any questions, please give details (including dates and amounts paid or penalty received)

Additional Comments

Preferred Method Of Contact*