Proof of No Claims Bonus

Please use this form to confirm proof of your No Claims Bonus.

Please note: This form cannot be used for Non-UK or Company car proof of bonus. Click here for more details.

Company Car No Claims Bonus
You will need to send us the following information on company headed note paper;
How long you had the company car for
Details of any claims, thefts, losses or incidents
Confirmation that you were the sole user of the vehicle (I.E not a pool car)
Confirmation that you used the car for social use as well as business use

Non-UK No Claims Bonus
You will need to send us the original proof of bonus document and an official translation to English (where the document is not in English).

Please post your No Claims Bonus proof to Ty Admiral, David Street, Cardiff, CF10 2AA.

Current Policy

Policy number:

AD

Policyholder name:

Postcode:

Details of previous insurance

Company name:

Policy number:

Policyholder name:

Car registration number:

How many years No Claims Bonus do you have?:

Declaration

I confirm that the statements made by me above are true and correct to the best of my knowledge and belief. I understand that it is an offence under the Road Traffic Act to make a false statement or withhold any information to gain the issue of a Certificate of Motor Insurance and failure to disclose all relevant facts could invalidate my policy.