Commercial Auto Quote Form

Commercial Auto Quote Request

Business name :

Address :

Business Type :

e.g., LLC, Corporation, Sole Proprietorship

Industry :

Years in Business:

Number of Employees:

Annual Revenue:

Number of Vehicles:

Vehicle Types:

e.g., cars, trucks, vans, trailers

Vehicle Ownership:

Vehicle Locations:

Vehicle Values:

Number of Drivers:

Driver Ages:

Driver Licenses:

Driver Experience:

Driver Records:

Desired Coverage Limit: What coverage limit is the business seeking?

Additional Insureds:

Prior Claims History:

Hazardous Materials:

Long-Distance Travel:

Parking Locations:

Safety Features:

Past Claims: Has the business had any auto insurance claims in the past 5 years? If yes, provide details (date, type of claim, amount paid).

Loss History: Has the business experienced any significant losses or incidents? (e.g., theft, accidents)

Current Insurance: Does the business currently have commercial auto insurance? If yes, provide details (carrier, policy limits, expiration date).

Prior Insurance: Has the business had commercial auto insurance in the past? If yes, provide details.

Special Requirements: Are there any special coverage requirements?

Other Policies: Does the business need other types of insurance?

Is there anything else you’d like to share about your business or vehicles to help us provide the best-fitted commercial auto insurance coverage?