Make a Claim
info@islandins.com
Drop us a line
+356 2385 5555
Make a call
GET A QUOTE
About Us
Who we are
Work with us
Commercial Insurance
Motor Insurance
Motor Insurance
Road Assistance
Personal Insurance
Home Insurance
Life Insurance
Travel Insurance
Health Insurance
Horse Insurance
Travel Schemes
BOV Travel Insurance
La Valette Travel Insurance
Claims
News
Contact Us
X
Motor Insurance Quotation
Personal Details
Name & Surname
*
ID Card Number
*
Occupation/Place of Work
*
Date of Birth
*
Date Format: MM slash DD slash YYYY
Phone
*
Mobile
*
Email
*
Vehicle Details
Make
*
Model
*
Please indicate exact Variant (GT, TDI etc)
Category
*
Private
Commercial
Year of Manufacture
*
Registration Number
*
Engine CC
*
Modified Engine
*
No
Yes
Fuel Type
*
Petrol
Diesel
Type of Body
*
Seating Capacity
*
Price Paid
*
Inclusive of Registration Tax
Current Market Value
*
Insurance Cover Details
Coverage Requested
*
Comprehensive
Third Party Fire and Theft (TPFT)
Third Party Only (TPO)
Authorized Drivers
*
Insured Only Driver
Two Named Drivers
Insured and Partner
Any Driver over 25 Yrs
Named Driver over 21 Yrs
Named Driver over 18 Yrs
Named Drivers's Name
*
Named Driver's Date of Birth
*
Date Format: MM slash DD slash YYYY
Previous Insurer
*
No
Yes
Insurer's Identity
*
Will a No Claims Discount be applied?
*
No
Yes
Registration Number
*
With whom Insured
*
Details of claims/ accidents over the past 5 years
If you would like us to source this information, please provide us with the registration number/s of the vehicle/s and the name of the insurance company involved at the time of the accident.
CAPTCHA