Truck Insurance Quote

Step 1 of 4

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Contact Information

Name Insured / Entity Name(Required)

Do you have a USDOT number?(Required)

Yes

Not Sure

USDOT Number(Required)

Mailing Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Do you have a different Property Address?(Required)

Yes

Property Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Is your Trucking Company for hire?(Required)

For hire means you use your trucks to haul commodities.

Yes

Not Sure

Contact Person's Name?(Required)

Phone(Required)

Coverage Information

Requested Effective Date(Required)

This required so we know when the policy needs to go into force.

MM slash DD slash YYYY

Requested Limit of Liability?(Required)

The liability portion of the policy covers the bodily injury and property damage you may be liable for.

$1 Million (Most Common)

$750,000

Higher than $1 Million

Lower than $750,000

Not Sure

Requested Personal Injury Protection?(Required)

Personal Injury Protection covers your drivers in the event of a loss where no other party is at fault.

$10,000

$5,000 (Most Common)

$2,500

Higher than $10,000

Not Sure

Requested Cargo Limit?(Required)

This is coverage for the cargo you are hauling.

$100,000 (Most Common)

Lower than $100,000

Higher than $100,000

Not Sure

Radius of Operations(Required)

0-100 Miles

101-300 Miles

301-600 Miles

601 + Miles

Not Sure

Projected total Mileage for the next year?(Required)

Please put “Not Sure” if you do not know this information.

Projected total revenue for the next year?(Required)

Dollar amount needed. Please put “Not Sure” if you do not know this information.

List of top cities you drive to

Please click the “+” symbol to add more cities. One city per line please.

List of Commodities Hauled(Required)

We will need the following for each commodity: Name, % Hauled, Max Value, Average Value. You will need to pick at least one commodity if you are hauling general freight.

Number of years of experience for your most experienced driver.(Required)

Please put “Not sure” if you do not know this information.

Have you been operating under a lease?(Required)

Yes

Not Sure

How long have you been operating under a lease?(Required)

Please put “Not sure” if you do not know this information.

Number of years with previous insurance.(Required)

Expiring Premium?

Federal Filings Needed?(Required)

Yes

Not Sure

State Filings Needed?(Required)

Yes

Not Sure

Vehicle Information

Number of Power Units(Required)

More than 5

Vehicle 1

Vehicle 1: Year(Required)

Vehicle 1: Make(Required)

Vehicle 1: Model(Required)

Vehicle 1: VIN(Required)

Vehicle 1 : Value(Required)

Vehicle 2

Vehicle 2: Year(Required)

Vehicle 2: Make(Required)

Vehicle 2: Model(Required)

Vehicle 2: VIN(Required)

Vehicle 2 : Value(Required)

Vehicle 3

Vehicle 3: Year(Required)

Vehicle 3: Make(Required)

Vehicle 3: Model(Required)

Vehicle 3: VIN(Required)

Vehicle 3: Value(Required)

Vehicle 4

Vehicle 4: Year(Required)

Vehicle 4: Make(Required)

Vehicle 4: Model(Required)

Vehicle 4: VIN(Required)

Vehicle 4: Value(Required)

Vehicle 5

Vehicle 5: Year(Required)

Vehicle 5: Make(Required)

Vehicle 5: Model(Required)

Vehicle 5: VIN(Required)

Vehicle 5: Value(Required)

Other Vehicles

Other Vehicles(Required)

Please list each additional vehicle’s Year, Make, Model, VIN#, and value.

Trailers

Any owned trailers?(Required)

Yes

Trailer Information(Required)

Please list each trailer’s Year, Make, Model, VIN#, and value.

Driver Information

Number of Drivers(Required)

More than 5

Driver 1

Driver 1: Name(Required)

Driver 1: Date of Birth(Required)

Driver 1: CDL Number(Required)

Driver 1: Years of Experience(Required)

Driver 2: Date of Hire

MM slash DD slash YYYY

Driver 2

Driver 2: Name(Required)

Driver 2: Date of Birth(Required)

Driver 2: CDL Number(Required)

Driver 2: Years of Experience(Required)

Driver 2: Date of Hire

MM slash DD slash YYYY

Driver 3

Driver 3: Name(Required)

Driver 3: Date of Birth(Required)

Driver 3: CDL Number(Required)

Driver 3: Years of Experience(Required)

Driver 3: Date of Hire

MM slash DD slash YYYY

Driver 4

Driver 4: Name(Required)

Driver 4: Date of Birth(Required)

Driver 4: CDL Number(Required)

Driver 4: Years of Experience(Required)

Driver 4: Date of Hire

MM slash DD slash YYYY

Driver 5

Driver 5: Name(Required)

Driver 5: Date of Birth(Required)

Driver 5: CDL Number(Required)

Driver 5: Years of Experience(Required)

Driver 5: Date of Hire

MM slash DD slash YYYY

Other Drivers

Other Drivers(Required)

For each driver we will need their name, date of birth, CDL number, years of experience, and date of hire.

This field is for validation purposes and should be left unchanged.