01327 857213 info@wheelstowork.net

Application form

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Section 1

In order to join the Wheels to Work Silverstone scheme, you must be based in either Northamptonshire, Oxfordshire, Berkshire, Buckinghamshire, Leicestershire, Bedfordshire, Warwickshire, Nottinghamshire or Shropshire.

We have a minimum hire term of four months, if you would like a bike for a short term hire or are outside of the counties listed above, you won't be able to join the Wheels to Work scheme but you may still able to hire, please email us to find out more.

We cannot hire scooters for courier or delivery work.

Section 2

Have you been involved in a motor accident in the past 3 years?

Have you made a claim against a motor insurer in the past three years?

Have you been convicted of a motor offence in the past five years?

Have you been disqualified from driving in the past eleven years?

Have you ever been convicted of a criminal offence?

Have you ever suffered from any physical or mental infirmity, diabetes, fits or heart complaint?

Have you ever been refused motor insurance, quoted an increased premium or had special terms imposed?

Have you always lived in the UK?

How did you find out about Wheels to Work Silverstone?

To speed up your application process (if you have them) please upload a picture of your licence, payslip showing your NI number (or contract of employment) and if you have taken it your CBT certificate.

Max. size: 256.0 MB

Please confirm by checking the box below that you consent to us using your data to confirm your identity and share your details with our insurance partner