Motor Insurance Database.

Please complete and submit this form either to add to or remove vehicles from the Motor Insurance Database.

To comply with the 4th EU Motor Directive you are required to provide the Motor Insurance Database (MID) with the registration numbers of all vehicles that are owned by the policyholder and the policyholder's spouse (if he or she is named as a driver under this policy) and that will be driven, used or parked on a road or public place. This includes:

• All vehicles, which are the property of the Insured
• All vehicles, which are the property of the spouse of the Insured if he or she is named as a driver under this policy.
• Stock vehicles taxed and in your possession for more than 14 days for the purpose of sale.
• Vehicles driven under Trade Plate regulations. All Trade Plate numbers must be disclosed.

This information should be given below and we will notify the MID on your behalf. Please note however, that a Motor Trade Road Risks policy does not provide cover for all vehicles or every eventuality and the submission of this information should not be regarded as an acceptance on our part that cover applies in respect of the vehicle bearing the registration number disclosed.

Warning: This is a legal obligation and failure to supply the information and keep it up to date is a criminal offence. The maximum penalty is a fine of £5000. The Motor Insurers Information Centre (MIIC) will be seeking prosecution on non-compliant policy holders.

Any failure on the part of the policyholder(s) to notify Unicom Insurance Services of vehicle updates, within a reasonable timescale, will result in vehicle(s) being added or removed from the date Unicom Insurance Services Ltd receive instructions.

Name
E-mail Address for correspondence
Policy Number
Reference Number
Telephone
Make of Vehicle
Model of Vehicle
Engine Size
Body Type
Full Registration
is this vehicle for addition or removal from the database?	add to database remove from database
Purchase date
Sale date
Is this vehicle for sale?	tick if yes
	Inaccurate information may result in the record not being added to the MID or incorrect information being added.