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Motor Accident or Claim Details for Additional Driver (1)
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Damage
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Any Injuries
Type
Damage
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Any Injuries
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Has Additional Driver (2) had any accidents (fault or non-fault)
or claims (whether claim made or not) in the last 5 years Yes
No
Motor Accident or Claim Details for Additional Driver (2)
Type
Damage
Fault
Any Injuries
Type
Damage
Fault
Any Injuries
Type
Damage
Fault
Any Injuries
Has Additional Driver (2) had any motor convictions,
fixed penalties or disqualifications in the last 5 years: Yes
No
Motor Conviction, Fixed Penalty or Disqualification Details for Additional Driver (2)
Conviction Code
Points
Conviction Code
Points
Conviction Code
Points
Conviction Code
Points
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