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Fair Processing Notice
 

Please answer questions accurately, honestly and to the best of your knowledge and belief, as otherwise it could result in claims under a future policy being declined.

We use personal information which you supply to us or, where applicable, to your insurance broker, for underwriting, policy administration, claims management and other insurance purposes, as further described in our Master Privacy Policy, available here: https://www.chubb.com/uk-en/footer/privacy-policy.html.

You can ask us for a paper copy of the Privacy Policy at any time, by contacting us at dataprotectionoffice.europe@chubb.com.


Personal Details:

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Motor Details 

Driver information

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Do you have or any driver have any unspent road traffic convictions or any pending motor prosecutions?:
Complete this section and click submit to notify Chubb directly of system impairment. Systems Impaired:
Have you or any driver had a TT99 disqualification (totting up) within the last 5 years
Complete this section and click submit to notify Chubb directly of system impairment. Systems Impaired:
Have you or any drive ever been refused insurance or had a policy cancelled?
Complete this section and click submit to notify Chubb directly of system impairment. Systems Impaired:
Do you or any driver have Any Criminal Convictions, Prosecutions Pending or history of any bankruptcy?
Complete this section and click submit to notify Chubb directly of system impairment. Systems Impaired:


Vehicle and Driver mapping:

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Is the vehicle parked at home address?
Complete this section and click submit to notify Chubb directly of system impairment. Systems Impaired:
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Overnight Parking 

If garaged is the garage alarmed?
Complete this section and click submit to notify Chubb directly of system impairment. Systems Impaired:
Is the parking below ground floor level?
Complete this section and click submit to notify Chubb directly of system impairment. Systems Impaired:
Does your property have electronic gates
Complete this section and click submit to notify Chubb directly of system impairment. Systems Impaired:


Annual Mileage:

Is this your everyday vehicle?
Complete this section and click submit to notify Chubb directly of system impairment. Systems Impaired:
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