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Apply for Impound Insurance

Fill in the form below and our team will contact you shortly.

Personal Info

Vehicle Details

Impound Info

Convictions

Your contact and licence details

Full Name

Date of Birth

Home Address

Phone Number

Email Address

Licence Pass Date

Licence Status

DVLA Share Code

Optional — allows us to verify your driving record via DVLA.

Information about the impounded vehicle

Vehicle Make

Vehicle Model

Registration Number

Year of Vehicle

Vehicle Requirements

Valid Vehicle TAXRoad tax is current

Valid MOTMOT is not expired

V5C in My NameLogbook registered to me

Important: Valid TAX, MOT, and V5C in your name are required to arrange cover.

Information about the vehicle seizure

Which Police Force Seized the Vehicle?

Where Is the Vehicle Currently Held?

Reason the Vehicle Was Seized

Must be 100% accurate – police may verify

Important: This information must be accurate, as the police may contact the insurer to confirm the details.

Do you have any points or convictions?

Yes, I have points/convictions

No, clean record

Your information is encrypted and kept strictly confidential.

Our team will review your details and get back to you shortly.