Additional drivers form

7. Have you confirmed all the above information with the additional driver? Yes No Additional Information March 6. Will the additional driver be the MAIN user of the vehicle(s)? Yes No If YES, state registration number(s) Important Note Before signing the declaration below please check your answers carefully, particularly if this form is. Execute ADDITIONAL DRIVER FORM - THOMOND UNDERWRITING LIMITED - Thomondunderwriting within a few moments following the recommendations below: Choose the document template you require from our library of legal form samples. Click the Get form button to open the document and start editing. ADDITIONAL DRIVER’S APPLICATION FORM This form is to be read in conjunction with the proposal forming the basis of a policy in the name of: Client’s Name: Client Ref: Policy Number: Date to Add: DETAILS OF ADDITIONAL DRIVER Name (please use block capitals) Occupation Employer’s business, if applicable Date of birth.

Additional Driver Form Policyholder: Policy Number: Underwriters reserve the right to decline any proposal submitted, or to require special terms and conditions of acceptance RSA Northern Ireland Insurance Limited is authorised and regulated by the Financial Services Authority (). The registered office is. The Motor Trader Additional drivers form OPT optional extensions Driving other vehicles for social, domestic and pleasure purposes The policy allows named drivers to drive business and personally owned vehicles insured by the policy for both motor trade and social, domestic and pleasure purposes. ADDITIONAL DRIVER DECLARATION Mr,Mrs,Ms,Miss Policyholder’s Full Name Address Home Telephone No. Work Telephone No. Email address Occupation/Business Postcode: PLEASE WRITE CLEARLY THROUGHOUT AND TICK APPROPRIATE BOXES. Please also initial any alterations. Certificate/Policy No.

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