What PJF Insurance Brokers Offer

Whether you’re looking for comprehensive or third party fire & theft car insurance – we offer different levels of cover to give you peace of mind while you’re on the road. We are a completely independent broker who pride ourselves on customer care.

There are many benefits of arranging insurance via a broker that many people are unaware of, these include:

  • We are a company with an identity and personality.
  • Friendly and helpful staff who are always one call away.
  • Save yourself time by letting our well trained staff obtain the best quotations through our 20+ Motor providers.

Don’t delay scroll down and complete our submission form to progress your quotation request

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    Motor Insurance Enquiry

    Fill out our quote request form below and one of the PJF team will contact you with your quote. .

    Your Personal details

    Date Of Birth

    What is your postal address?

    Choose your current licence type

    How long have you held your licence

    Your 9 Digit Driver number located on 4.D of your drivers licence

    Do you have any ongoing claims or have you had any claims or losses including windscreen in the last 5 years?

    YesNo

    Please provide some details

    Have you any Penalty points - If yes 1.How many penalty points are active on your drivers licence - 2.When were the penalty points applied to your licence - 3.Reason you received penalty points?


    YesNo

    If yes 1.How many penalty points are active on your drivers licence - 2.When were the penalty points applied to your licence - 3.Reason you received penalty points from

    YesNo

    Have you been convicted of any offence?If yes please give details
    YesNo

    Have you any medical conditions that could impair driving? If yes please give details
    YesNo

    For how many years have you been resident in Ireland?

    Have you had any proposal declined, renewal refused, policy cancelled by an insurer or special terms imposed? If yes please give details
    YesNo

    Additional drivers if required

    Do you require 1 additional driver?

    YesNo

    Driver 1 Name,Date of birth, Occupation?

    Driver 1 What type of drivers licence does the driver hold - How long have they held their drivers licence - what is the 9 digit driver number located on point 4d of their licence?

    Driver 1 Have they any penalty points, claims, convictions or medical conditions that could impair driving?

    Driver 1 What is their relation to you? - do they have a private car policy in their own name?

    Do you require 2 additional driver?

    YesNo

    Driver 2 Name,Date of birth, Occupation?

    Driver 2 What type of drivers licence does the driver hold - How long have they held their drivers licence - what is the 9 digit driver number located on point 4d of their licence?

    Driver 2 Have they any penalty points, claims, convictions or medical conditions that could impair driving?

    Driver 2 What is their relation to you? - do they have a private car policy in their own name?

    Do you require 3 additional driver?

    YesNo

    Driver 3 Name,Date of birth, Occupation?

    Driver 3 What type of drivers licence does the driver hold - How long have they held their drivers licence - what is the 9 digit driver number located on point 4d of their licence?

    Driver 3 Have they any penalty points, claims, convictions or medical conditions that could impair driving?

    Driver 3 What is their relation to you? - do they have a private car policy in their own name?

    Do you require 4 additional driver?

    YesNo

    Driver 4 Name,Date of birth, Occupation?

    Driver 4 What type of drivers licence does the driver hold - How long have they held their drivers licence - what is the 9 digit driver number located on point 4d of their licence?

    Driver 4 Have they any penalty points, claims, convictions or medical conditions that could impair driving?

    Driver 4 What is their relation to you? - do they have a private car policy in their own name?

    Your Vehicle details

    Vehicle Registration number

    Vehicle Make/Model

    How many seats in your Vehicle

    Is the vehicle a standard right hand drive?

    YesNo

    Vehicle Value

    How long have you owned the vehicle?

    Are you the legal & registered owner of the vehicle?

    If no, please give the reason that you are/will not be the registered owner of the vehicle?

    Is your vehicle imported?

    Has this vehicle been modified or adapted in any way?

    If yes, please explain how the vehicle has been modified or adapted?

    Will this car be used for business use?(Please answer no if you use your vehicle for commuting to and from work only and not during the course of your work day)

    If yes, please explain how the vehicle will be used for business use outside of commuting to your workplace

    Where is your vehicle parked at night

    Where is your vehicle parked during daytime i.e your location of work/school/college/ other

    Cover Required/ Insurance history

    Policy Start Date

    Cover Type

    Your latest driving experience

    If you currently hold insurance on this vehicle, Who is your current insurer & expiry date of policy

    Please ensure you have fully completed our submission form to avoid delays with your quotation request

    If you would wish to include additional information about your quotation request please forward to info@pjfitzgerald.ie