Step 1 of 4 25% Personal Accident Policy NumberPlease NoteTo apply for a Personal Accident Policy, please ensure you have a scan/photo of your current Licence or Participant pass from MCI Personal Accident Insurance Period: 14th of Feburary 2026 to 13th of February 2027 inclusive Territorial Limits: Ireland and Northern Ireland Occupation: Amateur Motorcycle Motorsports Operational Time: Participating in Motorcycle Union of Ireland permitted, organised, scheduled, events in Ireland and Northern Ireland, including practicing/training sessions. Cover is not operative while travelling to/from covered events or while attending or participating in any road racing Insured Ages: Members up to and including 80 Years Old Covers Death: €25,000 Loss of Sight in Both Eyes: €20,000 Loss of Sight in One Eye: €10,000 Loss of Two Limbs: €20,000 Loss of One Limb: €10,000 Loss of Sight in One Eye and Loss Of One Limb: €20,000 Permanent Total Disablement: €25,000 any/every occupation/p> Temporary total disablement: €200 per week max 26 weeks, after 4 weeks Cost: €185 Your DetailsName(Required) First Last Date of birth(Required) DD slash MM slash YYYY Address(Required) Street Address Address Line 2 City County Eircode/Postcode AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone(Required)Email(Required) Enter Email Confirm Email Please state your EHIC (E111) or UK GBIC number Licence DetailsNational Licence / Pass Number(Required)Licence / pass Number as it appears on your current licence / passLicence / Pass Upload(Required) Drop files here or Select files Accepted file types: jpg, jpeg, png, pdf, Max. file size: 20 MB, Max. files: 1. Please upload a scan/photo of your current Licence / Pass Emergency Contact DetailsEmergency Contact Name(Required) First Last Emergency Contact Phone(Required)Emergency Contact Email(Required) Enter Email Confirm Email When you click Submit below, your Personal Accident Policy details will be sent to Motorcycling Ireland for review - if accepted, you will receive your Personal Accident Policy via email.Fee(Required) Price: Payment/Gift Voucher Code (optional) If you have a gift voucher, or were supplied with a specific payment code, please enter it hereTotal Credit Card(Required)Card Details Cardholder Name Consent(Required) I consent to sending my details to Motorcycling Ireland for the purpose of processing my application as per the terms of the privacy policy. Δ
