AA Motorcycle Insurance

Rider details * indicates a required field

Title: *

First name: *

Surname: *

Gender: *

Male Female

Date of birth: *

Type of motorcycle licence?: *

Licence held since: *

What is your main employment status?: *

What is your occupation?: *

What industry is your occupation in?: *

Do you have an additional occupation?: *

What is your occupation?: *

What industry is this occupation?: *

Date of residency in UK: *

Marital status: *

Have you ever been refused insurance?: *

Yes No

Have you any unspent or pending non-motoring convictions?: *

Yes No

Are you a member of BMF or MAG?: *

Are you currently an AA member?: *

Yes No

Do you have access to other vehicles?: *

When is your car insurance due for renewal?:

When is your van insurance due for renewal?:

Who will be riding the bike?: *

Number of named riders: *

Contact details

Email: *

Please confirm your Email: *

Contact mobile telephone number: *

Postcode: *

House Name or Number: *

Street name: *

Town/City: *

County: *

What type of property is this?: *

Are you a homeowner?: *

Yes No

Claims & convictions

How many times have you had or caused any accidents, claims, windscreen claims or damage involving any motor vehicle in the past 5 years, whether or not a claim was made, and regardless of blame?: *

How many times have you received any of the following: motoring convictions, driving licence endorsements, fixed penalties (endorsed on your driving licence), disqualifications from driving all in the last 5 years or pending prosecutions for any motoring offence?: *

Cover details

Type of cover required: *

Voluntary excess: *

Excess Protect will cover payment of your excess with a valid claim. Key features of our cover:

protects excesses up to £600
all fault claims are covered
covers your Compulsory and Voluntary Excess

This optional extra can be added to your cover before buying your policy.

Number of years no claims bonus earned on a UK Motorbike policy: *

How many years no claim bonus have you earned on a private car policy: *

No claims discount protection: *

Yes No

What is your estimated annual mileage?: *

Would you like to pay for your insurance by direct debit?: *

Yes No

Do you currently have a AA Motorcycle Insurance policy?: *

Yes No

When would you like cover to start?: *

Your security

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