Documents Return Form Mr Michal Fraczkiewicz 8 Gaul Street NOTTINGHAM NG6 8HR Your Reference:
2/FRMX26PC01
Vehicle Registration:
Y754 WBT
WE REQUIRE THE FOLLOWING INFORMATION TO BE RETURNED TO US BY POST OR EMAIL Our email address:
[email protected] Postal Address: The Insurance Factory 1529 Stratford Road, Hall Green, Birmingham. B28 9JA DOCUMENTS REQUIRED
ENCLOSED
TO FOLLOW
(Please tick)
(Enter date)
- No Claims Bonus Proof - Photocopy of Driving Licence (All Drivers), including front and rear of the photo-card and the counterpart. The licence must show your current address. - A Photocopy Of A Recent Utility Bill If you do not have proof of No Claims Bonus from your previous insurer, but know the following details, please provide them below: Previous Insurer Name ______________________________________________________________ Telephone Number
______________________________________________________________
Policy Number
______________________________________________________________
Expiry Date
_______________________________________________________________
Years NCB Earned
_______________________________________________________________
Please note that failure to provide this information could result in your policy being cancelled. If you have difficulty in providing us with any of the above documents please contact us immediately on 0844 557 1925.
