Extend Cover Form

Please extend the named / accompanied driver cover under my policy detailed below

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Pin would have been provided to the pupil by the instructor on the first lesson

By completing this form you are instructing Aviva to extend your policy to cover the above named / accompanied driver. By doing this, it will also allow us to contact the customer in relation to the instruction.

Aviva Direct Ireland Limited is regulated by the Central Bank of Ireland. A private company limited by shares. Registered in Ireland No 374895. Registered Office One Park Place, Hatch Street, Dublin 2.

Your car insurance policy is underwritten by Aviva Insurance Ireland DAC.