CircusFormTest

Apply for insurance

Please read and accept the declaration below in order to activate the cover

Declaration

  • I confirm that I am a UK resident and a non professional cyclist.
  • I confirm that I have purchased the bike, from Evans Cycles, within the last 7 days.
  • I confirm that I have not previously held any free cycle insurance cover with Cycleguard.
  • I confirm I have not had any insurance declined, cancelled or had special terms imposed within the past 3 years.
  • I confirm that I have not had more than 2 cycling related claims or claim incidents within the last 3 years.
  • I confirm I have not been convicted of any criminal offences (other than motoring offences or convictions deemed to be spent under the Rehabilitation of Offenders Act 1974) .
  • I understand it is my responsibility to read and understand the policy documentation that will be emailed to the address I have provided.
  • I confirm the information I have provided is correct and understand that any information later found to be incorrect could invalidate any claim.
  • I confirm that I have read, understood and agree to the terms & conditions in the following policy documents: - Policy Wording - Cycle IPID - Terms of Business - Lock & Security Requirements
  • I confirm that the retailer has not provided any advice regarding this insurance. The insurance is underwritten by UK General Insurance Limited

The personal data you provide us within these questions will be retained to provide you with details of our insurance services. If at any time you want your data removed from our systems please let us know. Our privacy notice lets you know how we look after your data.