FORM

Section

Governor

Variable

Question

Guidance

Policyholder

 

 

 

Policyholder - tell us about yourself

 

 

PolicyholderTitle

Title

 

 

 

PolicyholderFirstName

First name

 

 

 

PolicyholderSurname

Surname

 

 

 

PolicyholderGender

Gender

 

 

 

PolicyholderDateOfBirth

Date of birth

For example, your date of birth should look like: 28/12/1965

 

 

PolicyholderPostcode

Postcode

 

 

 

PolicyholderEmail

Email address

We'll use this to contact you about your policy. We'd also like to share more with you about our products and services, you can choose how we do this at the bottom of the page.

Policyholder - More

 

 

 

|PolicyholderFirstName|, please tell us a bit more about yourself

 

 

PolicyholderEmploymentStatus

What's your employment status?

 

 

 

PolicyholderWorkRetired

Do you do any other work?

This could include part-time or voluntary work.

 

 

PolicyholderOccupation

What's your occupation?

Start typing the first three letters of your job title and then select from the list.  If you can't find your exact title please just choose whichever is closest.

 

 

PolicyholderIndustry

Which industry do you work in?

Start typing the first three letters of the industry you work in then select from the list.  If you can't find the exact one, please just choose whichever is closest.

 

 

PolicyHolderWorkOther

Do you do any other work?

 

 

 

PolicyholderOccupationOther

What's your occupation?

Start typing the first three letters of your job title and then select from the list.  If you can't find your exact title please just choose whichever is closest.

 

 

PolicyholderIndustryOther

Which industry do you work in?

Start typing the first three letters of the industry you work in then select from the list.  If you can't find the exact one, please just choose whichever is closest.

 

 

PolicyholderOtherEmployment

Please choose from the following ...

 

Driving

 

 

 

Driving history

 

 

PolicyholderDrivingLicenceHandy

Do you have your driving licence handy?

You can save time by simply entering the last 5 digits of your UK mainland driving licencde number.  Press 'Yes' is you've got your licence at hand.

 

 

PolicyholderDrivingLicenceLast5

Please enter the last 5 digits of your driving licence number.

We'll share this information with the DVLA to confirm your licence status, entitlement information, as well as any endorsement or conviction data.

 

 

PolicyholderDrivingLicenceType

What type of driving licence do you have?

We may ask you at any time to send usyour driving licence.

 

 

PolicyholderDrivingLicenceHeld

How long have you held this licence for?

If you've exchanged a previous licence without having to take a test, please tell us the total amount of years you've held a licence for.

Convictions

 

 

 

 

 

 

Convictions

Have you had any motoring convictions or fixed penalty endorsements in the last five years?

Please include disqualifications, as well as any convictions.

Conviction #|index|

ConvictionsCount

 

 

<b>Please tell us about these convictions or fixed penalty notices</b>

Please check the <a href="https://www.gov.uk/penalty-points-endorsements/endorsement-codes-and-penalty-points">UK Government website</a> if you're not sure of your conviction code.  For Northern Ireland or Republic of Ireland, please use the nearest UK equivalent.

 

 

ConvictionDate

Date of conviction

 

 

 

ConvictionCode

Conviction code

 

 

 

ConvictionBan

Did the conviction result in a ban?

 

 

 

ConvictionBanDuration

How long was the ban for?

 

Claims & Accidents

 

 

 

 

 

 

Claims

Have you had any claims or accidents (including while insured with us) in the last five years?

You need to tell us all the details, regardless of whether it was your fault or not, and if you claimed or not.

Claim #|index|

ClaimsCount

 

 

<b>Please tell us about these claims and accidents</b>

 

 

ClaimDate

Date of claim

 

 

 

ClaimType

Type of claim

 

Other details

 

 

 

 

 

 

PolicyholderMaritalStatus

What's your marital status?

 

 

 

PolicyholderContactNumber

Contact number (Your mobile number is the best way for us to keep in touch)

We'll only use this to contact you about your policy

 

 

PolicyholderHomeOwner

Do you own your own home?

 

Answer yes if you or your spouse / partner own the property outright, have a mortgage or shared ownership.

 

 

PolicyholderHomeInsuranceDue

When is your home insurance due?

 

 

 

PolicyholderPaymentTerm

How would you prefer to pay for your car insurance?

 

 

 

 

PolicyholderResidentYears3

Have you been a UK resident for more than 3 years?

 

 

 

 

PolicyholderResidentYears

How many years have you been a UK resident?

 

 

 

PolicyholderVehicles

How many cars and/or vans (including this one) do you have in your household?

You should include any cars, vans and motorvans, but not motorbikes.  Our definition of 'household' includes anyone who normally lives with you.

 

VARIABLES

Name

Input

Mode

Arrange

Required

Allow
Empty

Options

Unknown
Option

Other
Option

Add
Option

Default

Placeholder

Min

Max

PolicyholderTitle

pick

dropdown

 

true

 

TitleOptions

 

 

 

 

 

 

 

PolicyholderFirstName

text

line

 

true

false

 

 

 

 

 

 

 

 

PolicyholderSurname

text

line

 

true

false

 

 

 

 

 

 

 

 

PolicyholderGender

pick

button

 

true

 

GenderOptions

 

 

 

 

 

 

 

PolicyholderDateOfBirth

date

 

 

true

 

 

 

 

 

 

 

 

 

PolicyholderPostcode

text

line

 

true

false

 

 

 

 

 

 

 

 

PolicyholderEmail

text

email

 

true

false

 

 

 

 

 

 

 

 

PolicyholderEmploymentStatus

pick

button

 

true

 

EmploymentOptions

 

 

 

 

 

 

 

PolicyholderWorkRetired

boolean

button

 

true

 

 

 

 

 

 

 

 

 

PolicyholderWorkOther

boolean

button

 

true

 

 

 

 

 

 

 

 

 

PolicyholderOccupation

pick

search

 

true

 

OccupationOptions

 

 

 

 

 

 

 

PolicyholderOccupationOther

pick

search

 

true

 

OccupationOptions

 

 

 

 

 

 

 

PolicyholderIndustry

pick

search

 

true

 

IndustryOptions

 

 

 

 

 

 

 

PolicyholderIndustryOther

pick

search

 

true

 

IndustryOptions

 

 

 

 

 

 

 

PolicyholderOtherEmployment

pick

dropdown

 

true

 

OtherEmploymentOptions

 

 

 

 

 

 

 

PolicyholderDrivingLicenceHandy

boolean

button

 

true

 

 

 

 

 

 

 

 

 

PolicyholderDrivingLicenceLast5

text

line

 

 

 

 

 

 

 

 

 

 

 

PolicyholderDrivingLicenceType

pick

dropdown

 

true

 

LicenceTypeOptions

 

 

 

 

 

 

 

PolicyholderDrivingLicenceHeld

pick

dropdown

 

true

 

LicenceHeldOptions

"Unknown"

 

 

 

 

 

 

PolicyholderMaritalStatus

pick

dropdown

 

 

 

MaritalStatusOptions

"Please select"

 

 

 

 

 

 

PolicyholderContactNumber

text

telephone

 

 

 

 

 

 

 

 

 

 

 

PolicyholderHomeOwner

boolean

button

 

 

 

 

 

 

 

 

 

 

 

PolicyholderHomeInsuranceDue

date

dropdown

[month-name]

 

 

 

 

 

 

 

 

 

 

PolicyholderPaymentTerm

pick

button

 

 

 

PaymentTermOptions

 

 

 

 

 

 

 

PolicyholderResidentYears3

boolean

button

 

 

 

 

 

 

 

 

 

 

 

PolicyholderResidentYears

pick

button

 

 

 

ResidentYearsOptions

 

 

 

 

 

 

 

PolicyholderVehicles

pick

button

 

 

 

VehiclesOptions

 

 

 

 

 

 

 

Convictions

boolean

button

 

 

 

 

 

 

 

 

 

 

 

ConvictionsCount

integer

 

 

 

 

 

 

 

 

 

 

 

 

ConvictionDate

date

dropdown

[month-name] [year-digits]

true

 

 

 

 

 

 

"MM/YYYY"

addyears(today(),-5)

today()

ConvictionCode

pick

dropdown

 

true

 

ConvictionCodeOptions

 

 

 

 

 

 

 

ConvictionBan

boolean

button

 

 

 

 

 

 

 

 

 

 

 

ConvictionBanDuration

pick

dropdown

 

 

 

BanDurationOptions

 

 

 

 

 

 

 

Claims

boolean

button

 

 

 

 

 

 

 

 

 

 

 

ClaimsCount

integer

 

 

 

 

 

 

 

 

 

 

 

 

ClaimDate

date

dropdown

[month-name] [year-digits]

true

 

 

 

 

 

 

"MM/YYYY"

addyears(today(),-5)

today()

ClaimType

pick

dropdown

 

true

 

ClaimTypeOptions

 

 

 

 

 

 

 

Repetition Governor Buttons

Name

Governor Add

Governor Delete

ConvictionsCount

Add another conviction

Remove

ClaimsCount

Add another claim or accident

Remove

Violation Texts

Name

Violation Required

Violation Min Max

ConvictionDate

The conviction date is required

This date needs to be in the last 5 years.

ClaimDate

The claim or accident date is required

This date needs to be in the last 5 years.

 

COMPUTATIONS

Name

Type

Computation

Note

AcceptanceOptions

text[]

List( AcceptanceYesOption, AcceptanceNoOption )

The yes/no options for acceptance.

DisclosureOptions

text[]

List( AllParties, OnlyOtherParties )

The options in the disclosure pick list.

CategoryOptions

text[]

List( Security, Technology, Materials, Sundry )

The options in the categories multi-pick list.

CategoryDefaults

text[]

List( Technology, Sundry, Other1, Other2 )

The defaut options in the categories multi-pick list.

OneWay

boolean

DisclosingParties === OnlyOtherParties

Information will only be disclosed by the other parties.

TwoWay

boolean

DisclosingParties === AllParties

Information will be disclosed by all parties, including Viaweb.

OneOtherParty

boolean

OtherPartyCount === 1

There is one other party

NoOtherParties

boolean

OtherPartyCount === 0

There are 0 other parties

SomeOtherParties

boolean

OtherPartyCount > 0

There is at least 1 other party

ManyOtherParties

boolean

OtherPartyCount > 1

There are many other parties

LotsOfOtherParties

boolean

OtherPartyCount > 3

There are lots of other parties

CardinalOtherParties

text

cardinal( OtherPartyCount )

The number of other parties as a cardinal.

e.g. "One", "Two", "Three", etc..

AllOtherPartyNames

text

@OtherPartyName

The names of @all the other parties

 

OtherPartyNames

text

format( AllOtherPartyNames, "Oxford Comma" )

The names of all the other parties separated by commas.

e.g. "Alpha Corp, Beta Software and Gamma Radios"

YourPartyName

text

( index === 1 ? YourName1

: index === 2 ? YourName2

: index === 3 ? YourName3

: concat( IndexTh, " Party" ) )

The default name of a party.

e.g. "Alpha Corp", "Beta Software", "Gamma Radios", "Party Four", "Party Five", etc.

YourPartyAddress

text

( index === 1 ? YourAddress1

: index === 2 ? YourAddress2

: index === 3 ? YourAddress3

: unknown )

The default address of a party.

YourContactName

text

concat( "Your ", index, " Contact" )

The default name of a contact for the other party.

e.g. "Your Materials & Resources Contact"

OurContactName

text

concat( "Our ", index, " Contact" )

The default name of a contact for Viaweb.

e.g. "Our Materials & Resources Contact"

IndexTh

text

ordinalsuffix( index )

The numeric repetition index with an ordinal suffix.

e.g. "1st", "2nd", "3rd", etc..

LowerIndex

text

lowercase( index )

The text repetition index as lower-case characters.

e.g. "materials & resources"

UpperIndex

text

uppercase( index )

The text repetition index as upper-case characters.

e.g. "MATERIALS & RESOURCES"

MaxDate

date

date( 2030, 12, 31 )

Some arbitrary future date

MinAgreementDate

date

AddDays( Today(), 7 )

The minimum date of the agreement

 

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FORM

Section

Variable

Question

Guidance

Disclosure

 

 

This section deals with the parties that will be disclosing information.

 

Accepted

We are <u>not</u> a Law Firm.

We are <u>not</u> offering you advice.

We accept <u>no liability</u> for any use of this document.

If you do not accept this statement then the document will be blank.

 

AgreementDate

Enter the date of this agreement.

This agreement cannot be backdated.

 

DisclosingParties

Which parties will be disclosing information?

 

 

OtherPartyCount

How many other parties are there?

 

Viaweb Categories

 

 

This section deals with the categories of information that will be disclosed by Viaweb.

 

ViawebCategories

Select those categories for which information will be disclosed by ViaWeb.

 

|UpperIndex| by ViaWeb

 

 

This section outlines the <b>|LowerIndex|</b> information that will be disclosed by Viaweb.

 

ViawebInfo

Enter a brief synopsis of the <b>|LowerIndex|</b> information that will be disclosed by ViaWeb.

 

 

ViawebContact

Enter the name of the ViaWeb contact who will be revealing that information.

 

Party |index| of |total|

 

 

This section deals with the <b>|IndexTh|</b> other party.

 

OtherPartyName

Please enter the name of the <b>|IndexTh|</b> other party:

 

 

OtherPartyAddress

Please enter the address of <b>|OtherPartyName|</b>:

 

 

OtherPartyCategories

Select those categories for which information will be disclosed by <b>|OtherPartyName|</b>.

 

|index| by |^OtherPartyName|

 

 

This section outlines the <b>|LowerIndex|</b> information that will be disclosed by the <b>|^IndexTh|</b> other party.

 

OtherPartyInfo

Enter a brief synopsis of the <b>|LowerIndex|</b> information that will be disclosed by <b>|^OtherPartyName|</b>.

 

 

OtherPartyContact

Enter the name of the <b>|^OtherPartyName|</b> contact who will be revealing that information.

 

 

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FORM

Section

Variable

Question

Guidance

Disclosure

 

 

This section deals with the parties that will be disclosing information.

 

Accepted

We are <u>not</u> a Law Firm.

We are <u>not</u> offering you advice.

We accept <u>no liability</u> for any use of this document.

If you do not accept this statement then the document will be blank.

 

AgreementDate

Enter the date of this agreement.

This agreement cannot be backdated.

 

DisclosingParties

Which parties will be disclosing information?

 

 

OtherPartyCount

How many other parties are there?

 

Viaweb Categories

 

 

This section deals with the categories of information that will be disclosed by Viaweb.

 

ViawebCategories

Select those categories for which information will be disclosed by ViaWeb.

 

|UpperIndex| by ViaWeb

 

 

This section outlines the <b>|LowerIndex|</b> information that will be disclosed by Viaweb.

 

ViawebInfo

Enter a brief synopsis of the <b>|LowerIndex|</b> information that will be disclosed by ViaWeb.

 

 

ViawebContact

Enter the name of the ViaWeb contact who will be revealing that information.

 

Party |index| of |total|

 

 

This section deals with the <b>|IndexTh|</b> other party.

 

OtherPartyName

Please enter the name of the <b>|IndexTh|</b> other party:

 

 

OtherPartyAddress

Please enter the address of <b>|OtherPartyName|</b>:

 

 

OtherPartyCategories

Select those categories for which information will be disclosed by <b>|OtherPartyName|</b>.

 

|index| by |^OtherPartyName|

 

 

This section outlines the <b>|LowerIndex|</b> information that will be disclosed by the <b>|^IndexTh|</b> other party.

 

OtherPartyInfo

Enter a brief synopsis of the <b>|LowerIndex|</b> information that will be disclosed by <b>|^OtherPartyName|</b>.

 

 

OtherPartyContact

Enter the name of the <b>|^OtherPartyName|</b> contact who will be revealing that information.

 

 

FORM

Section

Variable

Question

Guidance

Disclosure

 

 

This section deals with the parties that will be disclosing information.

 

Accepted

We are <u>not</u> a Law Firm.

We are <u>not</u> offering you advice.

We accept <u>no liability</u> for any use of this document.

If you do not accept this statement then the document will be blank.

 

AgreementDate

Enter the date of this agreement.

This agreement cannot be backdated.

 

DisclosingParties

Which parties will be disclosing information?

 

 

OtherPartyCount

How many other parties are there?

 

Viaweb Categories

 

 

This section deals with the categories of information that will be disclosed by Viaweb.

 

ViawebCategories

Select those categories for which information will be disclosed by ViaWeb.

 

|UpperIndex| by ViaWeb

 

 

This section outlines the <b>|LowerIndex|</b> information that will be disclosed by Viaweb.

 

ViawebInfo

Enter a brief synopsis of the <b>|LowerIndex|</b> information that will be disclosed by ViaWeb.

 

 

ViawebContact

Enter the name of the ViaWeb contact who will be revealing that information.

 

Party |index| of |total|

 

 

This section deals with the <b>|IndexTh|</b> other party.

 

OtherPartyName

Please enter the name of the <b>|IndexTh|</b> other party:

 

 

OtherPartyAddress

Please enter the address of <b>|OtherPartyName|</b>:

 

 

OtherPartyCategories

Select those categories for which information will be disclosed by <b>|OtherPartyName|</b>.

 

|index| by |^OtherPartyName|

 

 

This section outlines the <b>|LowerIndex|</b> information that will be disclosed by the <b>|^IndexTh|</b> other party.

 

OtherPartyInfo

Enter a brief synopsis of the <b>|LowerIndex|</b> information that will be disclosed by <b>|^OtherPartyName|</b>.

 

 

OtherPartyContact

Enter the name of the <b>|^OtherPartyName|</b> contact who will be revealing that information.

 

 

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Click or tap here to enter text.

FORM

Section

Variable

Question

Guidance

Disclosure

 

 

This section deals with the parties that will be disclosing information.

 

Accepted

We are <u>not</u> a Law Firm.

We are <u>not</u> offering you advice.

We accept <u>no liability</u> for any use of this document.

If you do not accept this statement then the document will be blank.

 

AgreementDate

Enter the date of this agreement.

This agreement cannot be backdated.

 

DisclosingParties

Which parties will be disclosing information?

 

 

OtherPartyCount

How many other parties are there?

 

Viaweb Categories

 

 

This section deals with the categories of information that will be disclosed by Viaweb.

 

ViawebCategories

Select those categories for which information will be disclosed by ViaWeb.

 

|UpperIndex| by ViaWeb

 

 

This section outlines the <b>|LowerIndex|</b> information that will be disclosed by Viaweb.

 

ViawebInfo

Enter a brief synopsis of the <b>|LowerIndex|</b> information that will be disclosed by ViaWeb.

 

 

ViawebContact

Enter the name of the ViaWeb contact who will be revealing that information.

 

Party |index| of |total|

 

 

This section deals with the <b>|IndexTh|</b> other party.

 

OtherPartyName

Please enter the name of the <b>|IndexTh|</b> other party:

 

 

OtherPartyAddress

Please enter the address of <b>|OtherPartyName|</b>:

 

 

OtherPartyCategories

Select those categories for which information will be disclosed by <b>|OtherPartyName|</b>.

 

|index| by |^OtherPartyName|

 

 

This section outlines the <b>|LowerIndex|</b> information that will be disclosed by the <b>|^IndexTh|</b> other party.

 

OtherPartyInfo

Enter a brief synopsis of the <b>|LowerIndex|</b> information that will be disclosed by <b>|^OtherPartyName|</b>.

 

 

OtherPartyContact

Enter the name of the <b>|^OtherPartyName|</b> contact who will be revealing that information.

 

 

Click or tap here to enter text.

FORM

Section

Variable

Question

Guidance

Disclosure

 

 

This section deals with the parties that will be disclosing information.

 

Accepted

We are <u>not</u> a Law Firm.

We are <u>not</u> offering you advice.

We accept <u>no liability</u> for any use of this document.

If you do not accept this statement then the document will be blank.

 

AgreementDate

Enter the date of this agreement.

This agreement cannot be backdated.

 

DisclosingParties

Which parties will be disclosing information?

 

 

OtherPartyCount

How many other parties are there?

 

Viaweb Categories

 

 

This section deals with the categories of information that will be disclosed by Viaweb.

 

ViawebCategories

Select those categories for which information will be disclosed by ViaWeb.

 

|UpperIndex| by ViaWeb

 

 

This section outlines the <b>|LowerIndex|</b> information that will be disclosed by Viaweb.

 

ViawebInfo

Enter a brief synopsis of the <b>|LowerIndex|</b> information that will be disclosed by ViaWeb.

 

 

ViawebContact

Enter the name of the ViaWeb contact who will be revealing that information.

 

Party |index| of |total|

 

 

This section deals with the <b>|IndexTh|</b> other party.

 

OtherPartyName

Please enter the name of the <b>|IndexTh|</b> other party:

 

 

OtherPartyAddress

Please enter the address of <b>|OtherPartyName|</b>:

 

 

OtherPartyCategories

Select those categories for which information will be disclosed by <b>|OtherPartyName|</b>.

 

|index| by |^OtherPartyName|

 

 

This section outlines the <b>|LowerIndex|</b> information that will be disclosed by the <b>|^IndexTh|</b> other party.

 

OtherPartyInfo

Enter a brief synopsis of the <b>|LowerIndex|</b> information that will be disclosed by <b>|^OtherPartyName|</b>.

 

 

OtherPartyContact

Enter the name of the <b>|^OtherPartyName|</b> contact who will be revealing that information.

 

 

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DOES NOT WORK

FORM

Section

Variable

Question

Guidance

Disclosure

 

 

This section deals with the parties that will be disclosing information.

 

Accepted

We are <u>not</u> a Law Firm.

We are <u>not</u> offering you advice.

We accept <u>no liability</u> for any use of this document.

If you do not accept this statement then the document will be blank.

 

AgreementDate

Enter the date of this agreement.

This agreement cannot be backdated.

 

DisclosingParties

Which parties will be disclosing information?

 

 

OtherPartyCount

How many other parties are there?

 

Viaweb Categories

 

 

This section deals with the categories of information that will be disclosed by Viaweb.

 

ViawebCategories

Select those categories for which information will be disclosed by ViaWeb.

 

|UpperIndex| by ViaWeb

 

 

This section outlines the <b>|LowerIndex|</b> information that will be disclosed by Viaweb.

 

ViawebInfo

Enter a brief synopsis of the <b>|LowerIndex|</b> information that will be disclosed by ViaWeb.

 

 

ViawebContact

Enter the name of the ViaWeb contact who will be revealing that information.

 

Party |index| of |total|

 

 

This section deals with the <b>|IndexTh|</b> other party.

 

OtherPartyName

Please enter the name of the <b>|IndexTh|</b> other party:

 

 

OtherPartyAddress

Please enter the address of <b>|OtherPartyName|</b>:

 

 

OtherPartyCategories

Select those categories for which information will be disclosed by <b>|OtherPartyName|</b>.

 

|index| by |^OtherPartyName|

 

 

This section outlines the <b>|LowerIndex|</b> information that will be disclosed by the <b>|^IndexTh|</b> other party.

 

OtherPartyInfo

Enter a brief synopsis of the <b>|LowerIndex|</b> information that will be disclosed by <b>|^OtherPartyName|</b>.

 

 

OtherPartyContact

Enter the name of the <b>|^OtherPartyName|</b> contact who will be revealing that information.

 

 

Click or tap here to enter text.

COMPUTATIONS

Name

Type

Computation

Note

AcceptanceOptions

text[]

List( AcceptanceYesOption, AcceptanceNoOption )

The yes/no options for acceptance.

DisclosureOptions

text[]

List( AllParties, OnlyOtherParties )

The options in the disclosure pick list.

CategoryOptions

text[]

List( Security, Technology, Materials, Sundry )

The options in the categories multi-pick list.

CategoryDefaults

text[]

List( Technology, Sundry, Other1, Other2 )

The defaut options in the categories multi-pick list.

OneWay

boolean

DisclosingParties === OnlyOtherParties

Information will only be disclosed by the other parties.

TwoWay

boolean

DisclosingParties === AllParties

Information will be disclosed by all parties, including Viaweb.

OneOtherParty

boolean

OtherPartyCount === 1

There is one other party

NoOtherParties

boolean

OtherPartyCount === 0

There are 0 other parties

SomeOtherParties

boolean

OtherPartyCount > 0

There is at least 1 other party

ManyOtherParties

boolean

OtherPartyCount > 1

There are many other parties

LotsOfOtherParties

boolean

OtherPartyCount > 3

There are lots of other parties

CardinalOtherParties

text

cardinal( OtherPartyCount )

The number of other parties as a cardinal.

e.g. "One", "Two", "Three", etc..

AllOtherPartyNames

text

@OtherPartyName

The names of @all the other parties

 

OtherPartyNames

text

format( AllOtherPartyNames, "Oxford Comma" )

The names of all the other parties separated by commas.

e.g. "Alpha Corp, Beta Software and Gamma Radios"

YourPartyName

text

( index === 1 ? YourName1

: index === 2 ? YourName2

: index === 3 ? YourName3

: concat( IndexTh, " Party" ) )

The default name of a party.

e.g. "Alpha Corp", "Beta Software", "Gamma Radios", "Party Four", "Party Five", etc.

YourPartyAddress

text

( index === 1 ? YourAddress1

: index === 2 ? YourAddress2

: index === 3 ? YourAddress3

: unknown )

The default address of a party.

YourContactName

text

concat( "Your ", index, " Contact" )

The default name of a contact for the other party.

e.g. "Your Materials & Resources Contact"

OurContactName

text

concat( "Our ", index, " Contact" )

The default name of a contact for Viaweb.

e.g. "Our Materials & Resources Contact"

IndexTh

text

ordinalsuffix( index )

The numeric repetition index with an ordinal suffix.

e.g. "1st", "2nd", "3rd", etc..

LowerIndex

text

lowercase( index )

The text repetition index as lower-case characters.

e.g. "materials & resources"

UpperIndex

text

uppercase( index )

The text repetition index as upper-case characters.

e.g. "MATERIALS & RESOURCES"

MaxDate

date

date( 2030, 12, 31 )

Some arbitrary future date

MinAgreementDate

date

AddDays( Today(), 7 )

The minimum date of the agreement

 

FORM

Section

Variable

Question

Guidance

Disclosure

 

 

This section deals with the parties that will be disclosing information.

 

Accepted

We are <u>not</u> a Law Firm.

We are <u>not</u> offering you advice.

We accept <u>no liability</u> for any use of this document.

If you do not accept this statement then the document will be blank.

 

AgreementDate

Enter the date of this agreement.

This agreement cannot be backdated.

 

DisclosingParties

Which parties will be disclosing information?

 

 

OtherPartyCount

How many other parties are there?

 

Viaweb Categories

 

 

This section deals with the categories of information that will be disclosed by Viaweb.

 

ViawebCategories

Select those categories for which information will be disclosed by ViaWeb.

 

|UpperIndex| by ViaWeb

 

 

This section outlines the <b>|LowerIndex|</b> information that will be disclosed by Viaweb.

 

ViawebInfo

Enter a brief synopsis of the <b>|LowerIndex|</b> information that will be disclosed by ViaWeb.

 

 

ViawebContact

Enter the name of the ViaWeb contact who will be revealing that information.

 

Party |index| of |total|

 

 

This section deals with the <b>|IndexTh|</b> other party.

 

OtherPartyName

Please enter the name of the <b>|IndexTh|</b> other party:

 

 

OtherPartyAddress

Please enter the address of <b>|OtherPartyName|</b>:

 

 

OtherPartyCategories

Select those categories for which information will be disclosed by <b>|OtherPartyName|</b>.

 

|index| by |^OtherPartyName|

 

 

This section outlines the <b>|LowerIndex|</b> information that will be disclosed by the <b>|^IndexTh|</b> other party.

 

OtherPartyInfo

Enter a brief synopsis of the <b>|LowerIndex|</b> information that will be disclosed by <b>|^OtherPartyName|</b>.

 

 

OtherPartyContact

Enter the name of the <b>|^OtherPartyName|</b> contact who will be revealing that information.

 

 

Click or tap here to enter text.
Click or tap here to enter text.

FORM

Section

Variable

Question

Guidance

Disclosure

 

 

This section deals with the parties that will be disclosing information.

 

Accepted

We are <u>not</u> a Law Firm.

We are <u>not</u> offering you advice.

We accept <u>no liability</u> for any use of this document.

If you do not accept this statement then the document will be blank.

 

AgreementDate

Enter the date of this agreement.

This agreement cannot be backdated.

 

DisclosingParties

Which parties will be disclosing information?

 

 

OtherPartyCount

How many other parties are there?

 

Viaweb Categories

 

 

This section deals with the categories of information that will be disclosed by Viaweb.

 

ViawebCategories

Select those categories for which information will be disclosed by ViaWeb.

 

|UpperIndex| by ViaWeb

 

 

This section outlines the <b>|LowerIndex|</b> information that will be disclosed by Viaweb.

 

ViawebInfo

Enter a brief synopsis of the <b>|LowerIndex|</b> information that will be disclosed by ViaWeb.

 

 

ViawebContact

Enter the name of the ViaWeb contact who will be revealing that information.

 

Party |index| of |total|

 

 

This section deals with the <b>|IndexTh|</b> other party.

 

OtherPartyName

Please enter the name of the <b>|IndexTh|</b> other party:

 

 

OtherPartyAddress

Please enter the address of <b>|OtherPartyName|</b>:

 

 

OtherPartyCategories

Select those categories for which information will be disclosed by <b>|OtherPartyName|</b>.

 

|index| by |^OtherPartyName|

 

 

This section outlines the <b>|LowerIndex|</b> information that will be disclosed by the <b>|^IndexTh|</b> other party.

 

OtherPartyInfo

Enter a brief synopsis of the <b>|LowerIndex|</b> information that will be disclosed by <b>|^OtherPartyName|</b>.

 

 

OtherPartyContact

Enter the name of the <b>|^OtherPartyName|</b> contact who will be revealing that information.

 

 

Click or tap here to enter text.
Click or tap here to enter text.

FORM

Section

Variable

Question

Guidance

Disclosure

 

 

This section deals with the parties that will be disclosing information.

 

Accepted

We are <u>not</u> a Law Firm.

We are <u>not</u> offering you advice.

We accept <u>no liability</u> for any use of this document.

If you do not accept this statement then the document will be blank.

 

AgreementDate

Enter the date of this agreement.

This agreement cannot be backdated.

 

DisclosingParties

Which parties will be disclosing information?

 

 

OtherPartyCount

How many other parties are there?

 

Viaweb Categories

 

 

This section deals with the categories of information that will be disclosed by Viaweb.

 

ViawebCategories

Select those categories for which information will be disclosed by ViaWeb.

 

|UpperIndex| by ViaWeb

 

 

This section outlines the <b>|LowerIndex|</b> information that will be disclosed by Viaweb.

 

ViawebInfo

Enter a brief synopsis of the <b>|LowerIndex|</b> information that will be disclosed by ViaWeb.

 

 

ViawebContact

Enter the name of the ViaWeb contact who will be revealing that information.

 

Party |index| of |total|

 

 

This section deals with the <b>|IndexTh|</b> other party.

 

OtherPartyName

Please enter the name of the <b>|IndexTh|</b> other party:

 

 

OtherPartyAddress

Please enter the address of <b>|OtherPartyName|</b>:

 

 

OtherPartyCategories

Select those categories for which information will be disclosed by <b>|OtherPartyName|</b>.

 

|index| by |^OtherPartyName|

 

 

This section outlines the <b>|LowerIndex|</b> information that will be disclosed by the <b>|^IndexTh|</b> other party.

 

OtherPartyInfo

Enter a brief synopsis of the <b>|LowerIndex|</b> information that will be disclosed by <b>|^OtherPartyName|</b>.

 

 

OtherPartyContact

Enter the name of the <b>|^OtherPartyName|</b> contact who will be revealing that information.

 

 

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Click or tap here to enter text.
NO MOTORING CONVICTIONS
NO CLAIMS OR ACCIDENTS
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More than 3 years
DOES NOT WORK
 
NO MOTORING CONVICTIONS
NO MOTORING CONVICTIONS
 
 
 
 
NO MOTORING CONVICTIONS
NO MOTORING CONVICTIONS
NO CLAIMS OR ACCIDENTS
NO MOTORING CONVICTIONS
 
 
 
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