Car insurance, MOT and safety form

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Car insurance, MOT and safety form

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* Indicates required question

Email *

Your email

Name *

Your answer

Mobile *

Your answer

I am a.... *

Staff Member

Volunteer

Other:

Vehicle registration number *

Your answer

I confirm that my car insurance is in date and valid. *

Yes

I confirm that the MOT on my vehicle is in date and valid. *

Yes

I confirm that I have business insurance on my vehicle (if required). *

Yes

I confirm that my vehicle is in good working order as far as I am aware. *

Yes

A copy of your responses will be emailed to the address you provided.

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