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For more information on how we can improve your cover and reduce your premiums, please choose the insurance product that your are interested in, complete our tailored quotation form and one of our expert team members will get back to you.

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1. Personal Details

Name*

Address Line 1*

Address Line 2

City

Country*

Postcode

Telephone Number

Mobile Number

Email Address*

I am interested in*

2. Aircraft Details

Make

Model

Registration

Year Of Make

MTOW (KG)

Value (£)

Max. Number of Passenger Seats

Estimated Usage (Hours P.A)

Engine type

Undercarriage

3. Pilots

Name

Date of Birth (DD/MM/YYYY)

Total Flying Hours

Total Fixed-wing Piston Flying Hours

Total Hours on Similar Type of Aircraft

Total Hours on Make & Model

Total Hours in Last 12 Months

Total Aerobatic Hours (If Applicable)

Licence/Ratings/Endorsements and Date(s) Obtained

4. Uses

Ab Initio Instruction Use (%)

Rental Use (%)

Min. Total Flying Hours

Min. Make & Model Hours

Other uses not stated

5. Liability

Standard Level of Liability for Your Aircraft Type (EC785/2004)
YesNo

Please State Limit of Liability Required (£)

Is Pilot Personal Accident Cover Required?
YesNo

Please State Amount of Cover Required (£)

6. Important Additional Information About the Aircraft

Where is the Aircraft/s based?

Is the aircraft/s hangared?
YesNo

Is there any finance on the aircraft/s?
YesNo

If yes, please provide the name of the finance company for each aircraft

Have you, or any pilot named to fly the above aircraft/s, ever had any accidents/incidents, losses or claims during the past five years? (regardless of blame and whether reported to the insurer or not)
YesNo

Please advise date of loss, registration, aircraft/s value, total amount paid (split between damage to aircraft and liability)

Have you ever had any aviation insurance proposal or renewal declined by any insurance company, policy cancelled or subjected to any increased premium or any excess or special condition imposed by the insurance company?
YesNo

Please provide details

Have you ever been convicted of any offence in connection with any aviation related operations, or are there any police enquiries or prosecutions pending?
YesNo

Please provide date and details of offence

7. Existing Insurers

Insurer name

Renewal date (DD/MM/YYYY)

Renewal premium (£)

2. Helicopter Details

Make

Model

Engine type

Registration

Year Of Make

Value (£)

Max. Number of Passenger Seats

Undercarriage

Estimated Usage (hours p.a)

3. Pilots

Name

Date of Birth (DD/MM/YYYY)

Total Flying Hours

Total Rotor Wing Hours

Total Rotor Wing Turbine Hours

Hours on Make & Model

Licence/Ratings/Endorsements and Date(s) Obtained

4. Uses

Please tick all that apply

Private, Business and PleasureContinuation training of named pilotsAb initio instructionRental (any pilot)Rental (named pilots)All forms of instructionCommercial Passenger Carriage

Min. Total Flying Hours

Min. Make & Model Hours

Other uses not stated

5. Liability

Standard Level of Liability for Your Aircraft Type (EC785/2004)
YesNo

Please State Limit of Liability Required (£)

Is Pilot Personal Accident Cover Required?
YesNo

Please State Amount of Cover Required (£)

6. Important Additional Information About the Helicopter

Where is the Helicopter/s based?

Is the helicopter/s hangared?
YesNo

Is there any finance on the helicopter/s?
YesNo

If yes, please provide the name of the finance company for each helicopter

Have you, or any pilot named to fly the above helicopter/s, ever had any accidents/incidents, losses or claims during the past five years? (regardless of blame and whether reported to the insurer or not)
YesNo

Please advise date of loss, registration, helicopter/s value, total amount paid (split between damage to helicopter and liability)

Please provide details

Have you ever been convicted of any offence in connection with any aviation related operations, or are there any police enquiries or prosecutions pending?
YesNo

Please provide date and details of offence

7. Existing Insurers

Insurer name

Renewal date (DD/MM/YYYY)

Renewal premium (£)

2. Glider Details

Make

Model

Registration

Value (£)

Number of Seats

Estimated Usage (hours p.a)

Serial Number

MTOW (KG)

Description of Trailer/Equipment

Value (each item)

3. Pilots

Name

Date of Birth (DD/MM/YYYY)

Total Gliding Hours

Total Gliding Hours In Last 12 Months

Total power hours & type of hours (I.e. FW/ATPL)

Licence/Ratings/Endorsements and Date(s) Obtained

4. Uses

Please describe exactly what the glider/s will be used for and any other uses not stated

5. Liability

Standard Level of Liability for Your Aircraft Type (EC785/2004)
YesNo

Please State Limit of Liability Required (£)

Is Pilot Personal Accident Cover Required?
YesNo

Please State Amount of Cover Required (£)

6. Important Additional Information About the Glider

Where is the Glider/s based?

Glider/s usage
WeekendsWeekBoth

Is the glider/s hangared?
YesNo

Is there any finance on the glider/s?
YesNo

If yes, please provide the name of the finance company for each glider

Have you, or any pilot named to fly the above glider/s, ever had any accidents/incidents, losses or claims during the past five years? (regardless of blame and whether reported to the insurer or not)
YesNo

Please advise date of loss, registration, glider/s value, total amount paid (split between damage to glider/s and liability)

Please provide details

Have you ever been convicted of any offence in connection with any aviation related operations, or are there any police enquiries or prosecutions pending?
YesNo

Please provide date and details of offence

7. Existing Insurers

Insurer name

Renewal date (DD/MM/YYYY)

Renewal premium (£)

2. Gyro Details

Make

Model

Registration

Year of Make

MTOW (KG)

Engine Type

Slipper Clutch

Flight Control

Estimated Usage (hours p.a)

Number of Seats

Value (£)

Undercarriage

Cover Required

3. Pilots

Name

Date of Birth (DD/MM/YYYY)

Total Gyro Hours

Total Flying Hours

Total Gyro Hours In Last 12 Months

Make & Model Hours in last 12 months

Licence/Ratings/Endorsements and Date(s) Obtained

4. Uses

Please describe exactly what the gyro/s will be used for and any other uses not stated

5. Liability

Standard Level of Liability for Your Aircraft Type (EC785/2004)
YesNo

Please State Limit of Liability Required (£)

Is Pilot Personal Accident Cover Required?
YesNo

Please State Amount of Cover Required (£)

6. Important Additional Information About the Gyro

Where is the Gyro/s based?

Gyro/s usage
WeekendsWeekBoth

Is the gyro/s hangared?
YesNo

Is there any finance on the gyro/s?
YesNo

If yes, please provide the name of the finance company for each gyro

Have you, or any pilot named to fly the above gyro/s, ever had any accidents/incidents, losses or claims during the past five years? (regardless of blame and whether reported to the insurer or not)
YesNo

Please advise date of loss, registration, gyro/s value, total amount paid (split between damage to gyro and liability)

Please provide details

Have you ever been convicted of any offence in connection with any aviation related operations, or are there any police enquiries or prosecutions pending?
YesNo

Please provide date and details of offence

7. Existing Insurers

Insurer name

Renewal date (DD/MM/YYYY)

Renewal premium (£)

2. Microlight Details

Make

Model

Registration

Year of Make

MTOW (KG)

Engine type

Flight Control

Estimated Usage (hours p.a)

Number of Seats

Value (£)

Undercarriage

Cover required

3. Pilots

Name

Date of Birth (DD/MM/YYYY)

Total Microlight Hours

Total Flying Hours

Total Microlight Hours In Last 12 Months

Make & Model Hours in last 12 months

Total Hours on Make & Model

Licence/Ratings/Endorsements and Date(s) Obtained

4. Uses

Please describe exactly what the microlight/s will be used for and any other uses not stated

5. Liability

Standard Level of Liability for Your Aircraft Type (EC785/2004)
YesNo

Please State Limit of Liability Required (£)

Is Pilot Personal Accident Cover Required?
YesNo

Please State Amount of Cover Required (£)

6. Important Additional Information About the Microlight

Where is the Microlight/s based?

Microlight/s usage
WeekendsWeekBoth

Is the Microlight/s hangared?
YesNo

Is there any finance on the microlight/s?
YesNo

If yes, please provide the name of the finance company for each microlight

Have you, or any pilot named to fly the above microlight/s, ever had any accidents/incidents, losses or claims during the past five years? (regardless of blame and whether reported to the insurer or not)
YesNo

Please advise date of loss, registration, microlight/s value, total amount paid (split between damage to microlight and liability)

Please provide details

Have you ever been convicted of any offence in connection with any aviation related operations, or are there any police enquiries or prosecutions pending?
YesNo

Please provide date and details of offence

7. Existing Insurers

Insurer name

Current date (DD/MM/YYYY)

Renewal premium (£)

*Denotes a required field.

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1. Personal Details

2. Aircraft Details

3. Pilots

4. Uses

5. Liability

6. Important Additional Information About the Aircraft

7. Existing Insurers

2. Helicopter Details

3. Pilots

4. Uses

5. Liability

6. Important Additional Information About the Helicopter

7. Existing Insurers

2. Glider Details

3. Pilots

4. Uses

5. Liability

6. Important Additional Information About the Glider

7. Existing Insurers

2. Gyro Details

3. Pilots

4. Uses

5. Liability

6. Important Additional Information About the Gyro

7. Existing Insurers

2. Microlight Details

3. Pilots

4. Uses

5. Liability

6. Important Additional Information About the Microlight

7. Existing Insurers

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