No-Claims Discount request Please fill out the following form carefully, using the details associated with your 1st CENTRAL policy. Question Title * 1. First name Question Title * 2. Surname Question Title * 3. Date of birth (dd/mm/yyyy) e.g. 24/10/1988 Date Question Title * 4. Email address Question Title * 5. Car registration number Question Title * 6. 1st CENTRAL policy number Done