Insurance Brokers Ireland

*** The management and staff at Brian J Pierce Ltd, wish to extend our deepest condolences to the family of Mrs Mary Josephine (Dofeen) Traynor mother of Denis Traynor our esteemed colleague and director.

As a mark of respect the offices of Brian J Pierce Ltd will be closed on Thursday 21st of February 2019 and will reopen on Friday 22^nd of February at 9am.

Please email info@bjp.ie / taxi@bjp.ie / commercial@bjp.ie with any policy changes and they will be actioned when the office reopens. In case of emergency, please call Terry on 0876250191 ***

At Brian J Pierce Ltd, we are proud of our reputation as one of Ireland’s premier insurance brokers.

In business since 1979, we have acquired a wealth of knowledge and expertise, allowing us to provide the best possible advice and highly competitive insurance rates.

We place our customers first in everything we do and believe in an honest and upfront approach. These are principles that have stood the test of time and allowed us to grow from a local to a national provider.

Due to our extensive experience and contacts within the industry, we are your first port of call for all types of cover from commercial & household through to dental and car insurance.

Contact our specialist insurance team today to discuss your requirements.

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Personal Info
Title*
First Name*
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Date Of Birth*
Address Line 1*
Address Line 2
Town*
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Eircode
Phone Number*
Email*
Occupation*
Are You Married*

Property Type*
Year Built*
Listed Building*
Roof Construction*
Is Any Part Of Your Roof Flat?*
What % ?*
Number Of Bedrooms*
Number Of Bathrooms*
Locks?*
Burglar Alarms*
Name Of Alarm Installer*
Number Of Smoke Detectors*
Heating System:*
Number Of Years Lived At The Address*
Normal Day Time Occupancy*
Buildings Sum Insured Amount*
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Contents Sum Insured Amount*
Any Specified Items?*
Have They Been Valued, Purchased Or Appraise In The Last 3 Years?*
Please Provide Value, Details & Description Of Item(s)*
Do You Currently Have / Previously Held Insurance?*
Renewal / Expiry Date*
How Many Years Claims Free Are You?*
Please Provide Details Of Any Previous House Insurance Claims
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Personal Info
Title*
First Name*
Last Name*
Date Of Birth*
Resident In Ireland/UK Since:*
Address Line 1*
Address Line 2
Town*
County*
Phone Number*
Email*
Occupation*
License Type*
Years License Held*
Any Convictions?*
Date Of Conviction*
How Much Was The Fine?*
How Long Were You Disqualified For?*
Any Claims In The Last 5 Years?*
Date Of Claim*
Value Of Claim*
Is It Settled?*
Any Penalty Points In The Last 3 Years?*
How Many?*
Date Points Were Applied?*
Why Did You Get The Points?*

Car Details
Vehicle Make*
Vehicle Model*
Vehicle Value*
Engine Size cc*
Vehicle Registration Number*
Annual KM (Mileage)*
Date Of Purchase*
Insurance Details
Level Of Cover Desired*
Bonus Protection?*
Insurance Start / Renewal Date*
Do You Have A No Claims Bonus?*
How Many Years?*
Have You Been Named On Someone Else's Policy?*
How Many Years (continously & without gaps)?*

Additional Drivers: Naming a spouse / partner or relatives will likely reduce the premium!
Who Would You Wish To Name?
Title*
First Name*
Last Name*
Date Of Birth*
Resident In The UK / Ireland Since*
Occupation*
License Type*
Years Held?*
Do They Have Full Time Use Of Another Vehicle?*
Do They Live With You?*
Any Convictions*
Date Of Conviction*
How Much Was The Fine?*
How Long Were You Disqualified For?*
Any Claims In The Last 5 Years?*
Date Of Claim*
Value Of Claim*
Is It Settled?*
Any Penalty Points In The Last 3 Years?*
Date Points Were Applied?*
How Many?*
Why Did They Get The Points?*
2nd Driver Details
Title*
First Name*
Last Name*
Date Of Birth*
Resident In The UK / Ireland Since*
Occupation*
License Type*
Years Held?*
Do They Have Full Time Use Of Another Vehicle?*
Do They Live With You?*
2nd Driver Any Convictions*
Date Of Conviction*
How Much Was The Fine?*
How Long Were You Disqualified For?*
Any Claims In The Last 5 Years?*
Date Of Claim*
Value Of Claim*
Is It Settled?*
Any Penalty Points In The Last 3 Years?*
Date Points Were Applied?*
How Many?*
Why Did They Get The Points?*
*
- I have read and I accept the Privacy Policy *
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- I have read and I accept the terms of business? *
- Please tick this box if you allow us to contact you about discounts, special offers and information by post, email, SMS, phone and other electronic means.
Privacy*
- By using this form you agree with the storage and handling of your data by this website. *

Step 1 of 3

33%

Personal Info
Title*
First Name*
Last Name*
Date Of Birth*
Resident In Ireland / UK Since:*
Address Line 1*
Address Line 2
Town*
County*
Phone Number*
Email*
Occupation*
License Type*
Years License Held*
Any Convictions*
Date Of Conviction*
How Much Was The Fine?*
How Long Were You Disqualified For?*
Any Claims In The Last 5 Years?*
Date Of Claim*
Value Of Claim*
Is It Settled?*
Any Penalty Points In The Last 3 Years?*
How Many?*
Date Points Were Applied?*
Why Did You Get The Points?*

Vehicle Details
Vehicle Make*
Vehicle Model*
Vehicle Value*
Engine Size cc*
Vehicle Registration Number*
Insurance Details
Level Of Cover Desired*
Bonus Protection?*
Insurance Start / Renewal Date*
Do You Have A No Claims Bonus?*
How Many Years?*
Have You Been Named On Someone Else's Policy?*
How Many Years (Continuously & Without Gaps)?*

Additional Drivers: Naming a spouse / partner or relatives will likely reduce the premium!
Who Would You Wish To Name?
Title*
First Name*
Last Name*
Date Of Birth*
Occupation*
License Type*
Years Held?*
Any Convictions*
Date Of Conviction*
How Much Was The Fine?*
How Long Were You Disqualified For?*
Any Claims In The Last 5 Years?*
Date Of Claim*
Value Of Claim*
Is It Settled?*
Any Penalty Points In The Last 3 Years?*
How Many?*
Date Points Were Applied?*
Why Did You Get The Points?*
*
- I have read and I accept the Privacy Policy *
*
- I have read and I accept the terms of business? *
- Please tick this box if you allow us to contact you about discounts, special offers and information by post, email, SMS, phone and other electronic means.
Privacy*
- By using this form you agree with the storage and handling of your data by this website. *

The Insurance People. Call us on (01) 667 4985

Insurance Brokers Ireland

Get A Quick Quote

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Private Motor

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Home

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Private Motor

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Personal Info

Car Details

Insurance Details

Additional Drivers: Naming a spouse / partner or relatives will likely reduce the premium!

Van

Step 1 of 3

Personal Info

Vehicle Details

Insurance Details

Additional Drivers: Naming a spouse / partner or relatives will likely reduce the premium!