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Trucking Insurance Quote

Trucking Insurance Quote Form

Trucking Insurance QuoteRhett Jessop2021-11-01T17:42:06-06:00

Step 1 of 8

12%
If so, please enter it here.
MM slash DD slash YYYY
Insurance Renewal Date
Business Owner's Name(Required)
Business Owner's Date of Birth(Required)
Business Owner's or Financial Responsible Party's Address(Required)
This should match the address on the Owner's Driver's License address
Business Address(Required)
Mailing Address(Required)
What kind(s) of truck(s) will you be running?(Required)
Mark all that apply!
Garaging Zip Code(Required)
Enter the zip code where the truck will be parked whenever it is not being driven.
Will you be renting any trucks?(Required)
General Note: Every time you get a new rental truck, you must send a written request to make the vehicle change to your policy along with the vehicle information. Coverage will only be afforded once a formal confirmation such as an endorsement is sent back from the insurance provider.
Which Rental Company will you be using?(Required)

Trucks / Tractors

Please upload or enter in truck information to be scheduled to the quote/policy below. Note: This section is not rental trucks.
Year Make Model VIN Stated Value Radius of Operation Actions
           
There are no Trucks.

Maximum number of trucks reached.

Excel, JPG, PDF, or Word Doc
Drop files here or
Max. file size: 12 MB, Max. files: 1.

    Trailers (If Applicable)

    Please upload or enter in trailer information to be scheduled to the quote/policy below.
    Year Make Model VIN Stated Value Radius of Operation Actions
               
    There are no Trailers.

    Maximum number of trailers reached.

    Excel, JPG, PDF, or Word Doc
    Drop files here or
    Max. file size: 12 MB, Max. files: 1.
      Is the Business Owner a Driver?(Required)
      Business Owner is:(Required)
      Does the Business Owner have a CDL?(Required)
      Name Date of Birth License State License Number Year CDL Issued Actions
               
      There are no Drivers.

      Maximum number of drivers reached.

      Excel, JPG, PDF, or Word Doc
      Drop files here or
      Max. file size: 12 MB, Max. files: 1.

        Possible Policy Discount

        Do you currently have commercial or personal auto insurance?(Required)
        This discount includes personal auto and commercial auto policies. If you have either type of policy, DO NOT skip this part!!! It's a very important discount that may help!
        If you don't have this right now it's okay but you have to submit this documentation to keep the discount if available.
        Drop files here or
        Max. file size: 12 MB, Max. files: 1.
          Do you have any other insurance policies listed below for the business?(Required)
          If you haven't chosen an ELD provider yet, we highly recommend KeepTruckin. This discount will not apply for some policies unless you already have a truck and the device is active in it. Some insurance providers do not provide a discount for ELD's yet but those that do typically credit the policy more than the ELD actually costs. You can still sometimes get an ELD discount after the policy is bound, we just need to wait until you get it activated and then submit the information on it to the insurance carrier. If you are not sure, you should DEFINITELY get an ELD, regardless if a discount is available or not because they have shown to help manage owner operators and fleets with compliance and safety with daily operations. Unless you select "N/A", you consent to providing your ELD data to the insurance company. Drive smart, save money.

          Coverages

          Would you like a quote for the minimum required auto liability limit to get your authority activated?(Required)
          This will only get your authority activated and will not include any coverages that you will need to haul off the load boards, for brokers, Amazon Relay, or other freight providers or shippers.
          Do you plan on keeping the minimum limit for:(Required)
          Do you plan on getting your own Authority within the next 12 months?(Required)
          This coverage is only available if you do not have DOT# and are leased onto a Motor Carrier
          Commodities Hauled(Required)
          Select all that apply
          Do you need the UIIA endorsement?(Required)
          What type of Towing will you do?
          Note: If you are an over the road motor carrier and are required to file International Fuel Tax Agreement reports, some insurers may require this for a formal quote.
          Drop files here or
          Max. file size: 12 MB, Max. files: 1.
            Drop files here or
            Max. file size: 12 MB.
              Any additional information you can provide regarding experience, safety equipment, company safety plans, company growth expectations, driver requirements, claim descriptions, etc. can be entered here and will be useful during the quoting process
              Disclosure(Required)
              Most insurance companies use information from you and other sources, such as your driving, claims and credit histories, to calculate an accurate price for your insurance. New or updated information may be used to calculate your renewal premium. Each company's Privacy Policy explains how they disclose and protect your personal information and how you may access and correct it. I can provide a copy at your request. If selected, we may share your contact info with our affiliate partners.
              This field is for validation purposes and should be left unchanged.
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