Insurance Brokers Ireland

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*
Last Name*
Date Of Birth*
Date Format: DD slash MM slash YYYY
Address Line 1*
Address Line 2
Town*
County*
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*
Date Format: DD slash MM slash YYYY
How Many Years Claims Free Are You?*
Please Provide Details Of Any Previous House Insurance Claims
Do You Wish To Include Accidental Damage Cover?*
Please Provide Any Other Information You Feel Relevent
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Private Motor

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Personal Info
Title*
First Name*
Last Name*
Date Of Birth*
Date Format: DD slash MM slash YYYY
Resident In Ireland/UK Since:*
Date Format: DD slash MM slash YYYY
Address Line 1*
Address Line 2
Town*
County*
Phone Number*
Email*
Occupation*
License Type*
Years License Held*
Any Convictions?*
Date Of Conviction*
Date Format: DD slash MM slash YYYY
How Much Was The Fine?*
How Long Were You Disqualified For?*
Any Claims In The Last 5 Years?*
Date Of Claim*
Date Format: DD slash MM slash YYYY
Value Of Claim*
Is It Settled?*
Any Penalty Points In The Last 3 Years?*
How Many?*
Date Points Were Applied?*
Date Format: DD slash MM slash YYYY
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*
Date Format: DD slash MM slash YYYY
Insurance Details
Level Of Cover Desired*
Bonus Protection?*
Insurance Start / Renewal Date*
Date Format: DD slash MM slash YYYY
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*
Date Format: DD slash MM slash YYYY
Resident In The UK / Ireland Since*
Date Format: DD slash MM slash YYYY
Occupation*
License Type*
Years Held?*
Do They Have Full Time Use Of Another Vehicle?*
Do They Live With You?*
Any Convictions*
Date Of Conviction*
Date Format: DD slash MM slash YYYY
How Much Was The Fine?*
How Long Were You Disqualified For?*
Any Claims In The Last 5 Years?*
Date Of Claim*
Date Format: DD slash MM slash YYYY
Value Of Claim*
Is It Settled?*
Any Penalty Points In The Last 3 Years?*
Date Points Were Applied?*
Date Format: DD slash MM slash YYYY
How Many?*
Why Did They Get The Points?*
2nd Driver Details
Title*
First Name*
Last Name*
Date Of Birth*
Date Format: DD slash MM slash YYYY
Resident In The UK / Ireland Since*
Date Format: DD slash MM slash YYYY
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*
Date Format: DD slash MM slash YYYY
How Much Was The Fine?*
How Long Were You Disqualified For?*
Any Claims In The Last 5 Years?*
Date Of Claim*
Date Format: DD slash MM slash YYYY
Value Of Claim*
Is It Settled?*
Any Penalty Points In The Last 3 Years?*
Date Points Were Applied?*
Date Format: DD slash MM slash YYYY
How Many?*
Why Did They 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. *

Step 1 of 3

33%

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

Van

Home

Step 1 of 2

Personal Info

Private Motor

Step 1 of 3

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!