START QUOTE HERE: Is this Quote for a New Authority?* Have all Drivers had their CDL for at least 2 years?* We do not offer quotes if all drivers have not had their CDL at least 2 years. Do you have any Truck or Trailers older than 20 years?* We do not offer quotes if you have trucks or trailers older than 20 years Do you have any drivers under the age of 24?* We do not offer quotes with drivers under the age of 24. Company Information: Enter your DOT#* We do not offer quotes without a DOT#
Which state is your DOT Registered?* Arizona Alabama California Colorado Connecticut Florida Georgia Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maryland Michigan Mississippi Missouri Nevada New Jersey Ohio Pennsylvania South Carolina Tennessee Texas Utah Virginia Wisconsin
Do you haul out of your Home State?* Owners Name?*
Email?*
Phone #?*
Are you trying to grow your fleet?* Some truck insurance companies will not allow you to grow your fleet at the pace you want it to grow.
With these companies you run the chance of being cancelled for Rapid Growth.
JDW has trucking insurance companies who will allow rapid growth.
How many trucks to you wish to grow to this year?*
How would you like to send us your information?* You can enter up to 10 trucks and 12 trailers manually or upload files.
If you have 11 plus trucks. Files are requested for quoting.
File upload:* Information needed to request quotes:
Owner info: Full name, address, DOB, DL#, State issued. If the owner has a CDL and how many years.
Drivers lists: Full name, DOB, DL#, State issued. # of year with a CDL and hire date for each driver.
Trucks: Year, make, mode, VIN# and stated value of Physical Damage.
Trailers: Year, make, mode, VIN# and stated value of Physcial Damage. And the type of trailers i.e. Dryvan, flatbed, reefer, hazmat etc.
Last 4 quarters of IFTA reports if you are required to file them.
Loss Runs Report
If you are being cancelled or non-renewed. We need a copy of this notice.
If you trying to replace your policy mid-term with a better price. We need all of the above plus a copy of your current Declarations Page
Preferred files are Spreadsheets but can accept PDF or DOC files.
If you do not have all this information. Send what you have and we will start reviewing. And get the application process going.
Truck Information: Enter your Truck/s Information:* How many truck/s do you want to insure? Add 1 Truck Add 2 Trucks Add 3 Trucks Add 4 Trucks Add 5 Trucks Add 6 Trucks Add 7 Trucks Add 8 Trucks Add 9 Trucks Add 10 Trucks
Truck #1 Information: What type of truck is Truck #1?* This truck is a: Tractor Straight or Box Truck Tow – Tilt Bed Tow – Non-Tilt Bed Dump Truck Cargo Van Flatbed Truck Roll Off Vehicle Stake Truck Other
Truck #1 Year?*
Truck #1 Make?*
Truck #1 VIN#?*
Truck #1 Stated Value?*
Truck #2 Information: What type of truck is Truck #2?* This truck is a: Tractor Straight or Box Truck Tow – Tilt Bed Tow – Non-Tilt Bed Dump Truck Cargo Van Flatbed Truck Roll Off Vehicle Stake Truck Other
Truck #2 Year?*
Truck #2 Make?*
Truck #2 VIN#?*
Truck #2 Stated Value?*
Truck #3 Information: What type of truck is Truck #3?* This truck is a: Tractor Straight or Box Truck Tow – Tilt Bed Tow – Non-Tilt Bed Dump Truck Cargo Van Flatbed Truck Roll Off Vehicle Stake Truck Other
Truck #3 Year?*
Truck #3 Make?*
Truck #3 VIN#?*
Truck #3 Stated Value?*
Truck #4 Information: What type of truck is Truck #4?* This truck is a: Tractor Straight or Box Truck Tow – Tilt Bed Tow – Non-Tilt Bed Dump Truck Cargo Van Flatbed Truck Roll Off Vehicle Stake Truck Other
Truck #4 Year?*
Truck #4 Make?*
Truck #4 VIN#?*
Truck #4 Stated Value?*
Truck #5 Information: What type of truck is Truck #5?* This truck is a: Tractor Straight or Box Truck Tow – Tilt Bed Tow – Non-Tilt Bed Dump Truck Cargo Van Flatbed Truck Roll Off Vehicle Stake Truck Other
Truck #5 Year?*
Truck #5 Make?*
Truck #5 VIN#?*
Truck #5 Stated Value?*
Truck #6 Information: What type of truck is Truck #6?* This truck is a: Tractor Straight or Box Truck Tow – Tilt Bed Tow – Non-Tilt Bed Dump Truck Cargo Van Flatbed Truck Roll Off Vehicle Stake Truck Other
Truck #6 Year?*
Truck #6 Make?*
Truck #6 VIN#?*
Truck #6 Stated Value?*
Truck #7 Information: What type of truck is Truck #7?* This truck is a: Tractor Straight or Box Truck Tow – Tilt Bed Tow – Non-Tilt Bed Dump Truck Cargo Van Flatbed Truck Roll Off Vehicle Stake Truck Other
Truck #7 Year?*
Truck #7 Make?*
Truck #7 VIN#?*
Truck #7 Stated Value?*
Truck #8 Information: What type of truck is Truck #8?* This truck is a: Tractor Straight or Box Truck Tow – Tilt Bed Tow – Non-Tilt Bed Dump Truck Cargo Van Flatbed Truck Roll Off Vehicle Stake Truck Other
Truck #8 Year?*
Truck #8 Make?*
Truck #8 VIN#?*
Truck #8 Stated Value?*
Truck #9 Information: What type of truck is Truck #9?* This truck is a: Tractor Straight or Box Truck Tow – Tilt Bed Tow – Non-Tilt Bed Dump Truck Cargo Van Flatbed Truck Roll Off Vehicle Stake Truck Other
Truck #9 Year?*
Truck #9 Year?*
Truck #9 Make?*
Truck #9 VIN#?*
Truck #10 Information: What type of truck is Truck #10?* This truck is a: Tractor Straight or Box Truck Tow – Tilt Bed Tow – Non-Tilt Bed Dump Truck Cargo Van Flatbed Truck Roll Off Vehicle Stake Truck Other
Truck #10 Year?*
Truck #10 VIN#?*
Truck #10 Make?*
Truck #10 Stated Value?*
Trailer Information: What type of Trailers are you Pulling?* If you are using owned, leased and power only. Please make a note in the comment section below.
Power Only: How much Trailer Exchange coverage do you need?* How much Trailer Exchange Coverage are you required to carry. This is also call non-owned trailer or trailer replacement. For example: Amazon Relay requires $50k .
Add Trailers: Enter your Trailer Information:* How many Trailers do you want to insure? zero Add 1 Trailer Add 2 Trailers Add 3 Trailers Add 4 Trailers Add 5 Trailers Add 6 Trailers Add 7 Trailers Add 8 Trailers Add 9 Trailers Add 10 Trailers Add 11 Trailers Add 12 Trailers Add 13 Trailers Add 14 Trailers Add 15 Trailers
Trailer #1 Information: Trailer #1 type?* This Trailer is a? Dry Van Trailer Refrigerated Trailer Flatbed Trailer Auto Hauling Trailer Belly Dump Trailer Bulk Commodity Trailer End Dump Trailer Gooseneck Trailer Intermodal Chassis Logging Trailer Tank Trailer Side Dump Trailer Other
Trailer #1 Year?*
Trailer #1 Make?*
Trailer #1 VIN#?*
Trailer #1 Stated Value?*
Trailer #2 Information: Trailer #2 type?* This Trailer is a? Dry Van Trailer Refrigerated Trailer Flatbed Trailer Auto Hauling Trailer Belly Dump Trailer Bulk Commodity Trailer End Dump Trailer Gooseneck Trailer Intermodal Chassis Logging Trailer Tank Trailer Side Dump Trailer Other
Trailer #2 Year?*
Trailer #2 Make?*
Trailer #2 VIN#?*
Trailer #2 Stated Value?*
Trailer #3 Information: Trailer #3 type?* This Trailer is a? Dry Van Trailer Refrigerated Trailer Flatbed Trailer Auto Hauling Trailer Belly Dump Trailer Bulk Commodity Trailer End Dump Trailer Gooseneck Trailer Intermodal Chassis Logging Trailer Tank Trailer Side Dump Trailer Other
Trailer #3 Year?*
Trailer #3 Make?*
Trailer #3 VIN#?*
Trailer #3 Stated Value?*
Trailer #4 Information: Trailer #4 type?* This Trailer is a? Dry Van Trailer Refrigerated Trailer Flatbed Trailer Auto Hauling Trailer Belly Dump Trailer Bulk Commodity Trailer End Dump Trailer Gooseneck Trailer Intermodal Chassis Logging Trailer Tank Trailer Side Dump Trailer Other
Trailer #4 Year?*
Trailer #4 Make?*
Trailer #4 VIN#?*
Trailer #4 Stated Value?*
Trailer #5 Information: Trailer #5 type?* This Trailer is a? Dry Van Trailer Refrigerated Trailer Flatbed Trailer Auto Hauling Trailer Belly Dump Trailer Bulk Commodity Trailer End Dump Trailer Gooseneck Trailer Intermodal Chassis Logging Trailer Tank Trailer Side Dump Trailer Other
Trailer #5 Year?*
Trailer #5 Make?*
Trailer #5 VIN#?*
Trailer #5 Stated Value?*
Trailer #6 Information: Trailer #6 type?* This Trailer is a? Dry Van Trailer Refrigerated Trailer Flatbed Trailer Auto Hauling Trailer Belly Dump Trailer Bulk Commodity Trailer End Dump Trailer Gooseneck Trailer Intermodal Chassis Logging Trailer Tank Trailer Side Dump Trailer Other
Trailer #6 Year?*
Trailer #6 Make?*
Trailer #6 VIN#?*
Trailer #6 Stated Value?*
Trailer #7 Information: Trailer #7 type?* This Trailer is a? Dry Van Trailer Refrigerated Trailer Flatbed Trailer Auto Hauling Trailer Belly Dump Trailer Bulk Commodity Trailer End Dump Trailer Gooseneck Trailer Intermodal Chassis Logging Trailer Tank Trailer Side Dump Trailer Other
Trailer #7 Year?*
Trailer #7 Make?*
Trailer #7 VIN#?*
Trailer #7 Stated Value?*
Trailer #8 Information: Trailer #8 type?* This Trailer is a? Dry Van Trailer Refrigerated Trailer Flatbed Trailer Auto Hauling Trailer Belly Dump Trailer Bulk Commodity Trailer End Dump Trailer Gooseneck Trailer Intermodal Chassis Logging Trailer Tank Trailer Side Dump Trailer Other
Trailer #8 Year?*
Trailer #8 Make?*
Trailer #8 VIN#?*
Trailer #8 Stated Value?*
Trailer #9 Information: Trailer #9 type?* This Trailer is a? Dry Van Trailer Refrigerated Trailer Flatbed Trailer Auto Hauling Trailer Belly Dump Trailer Bulk Commodity Trailer End Dump Trailer Gooseneck Trailer Intermodal Chassis Logging Trailer Tank Trailer Side Dump Trailer Other
Trailer #9 Year?*
Trailer #9 Make?*
Trailer #9 VIN#?*
Trailer #9 Stated Value?*
Trailer #10 Information: Trailer #10 type?* This Trailer is a? Dry Van Trailer Refrigerated Trailer Flatbed Trailer Auto Hauling Trailer Belly Dump Trailer Bulk Commodity Trailer End Dump Trailer Gooseneck Trailer Intermodal Chassis Logging Trailer Tank Trailer Side Dump Trailer Other
Trailer #10 Year?*
Trailer #10 Make?*
Trailer #10 VIN#?*
Trailer #10 Stated Value?*
Trailer #11 Information: Trailer #11 type?* This Trailer is a? Dry Van Trailer Refrigerated Trailer Flatbed Trailer Auto Hauling Trailer Belly Dump Trailer Bulk Commodity Trailer End Dump Trailer Gooseneck Trailer Intermodal Chassis Logging Trailer Tank Trailer Side Dump Trailer Other
Trailer #11 Year?*
Trailer #11 Make?*
Trailer #11 VIN#?*
Trailer #11 Stated Value?*
Trailer #12 Information: Trailer #12 type?* This Trailer is a? Dry Van Trailer Refrigerated Trailer Flatbed Trailer Auto Hauling Trailer Belly Dump Trailer Bulk Commodity Trailer End Dump Trailer Gooseneck Trailer Intermodal Chassis Logging Trailer Tank Trailer Side Dump Trailer Other
Trailer #12 Year?*
Trailer #12 Make?*
Trailer #12 VIN#?*
Trailer #12 Stated Value?*
Trailer #13 Information: Trailer #13 type?* This Trailer is a? Dry Van Trailer Refrigerated Trailer Flatbed Trailer Auto Hauling Trailer Belly Dump Trailer Bulk Commodity Trailer End Dump Trailer Gooseneck Trailer Intermodal Chassis Logging Trailer Tank Trailer Side Dump Trailer Other
Trailer #13 Year?*
Trailer #13 Make?*
Trailer #13 VIN#?*
Trailer #13 Stated Value?*
Trailer #14 Information: Trailer #14 type?* This Trailer is a? Dry Van Trailer Refrigerated Trailer Flatbed Trailer Auto Hauling Trailer Belly Dump Trailer Bulk Commodity Trailer End Dump Trailer Gooseneck Trailer Intermodal Chassis Logging Trailer Tank Trailer Side Dump Trailer Other
Trailer #14 Year?*
Trailer #14 Make?*
Trailer #14 VIN#?*
Trailer #14 Stated Value?*
Trailer #15 Information: Trailer #15 type?* This Trailer is a? Dry Van Trailer Refrigerated Trailer Flatbed Trailer Auto Hauling Trailer Belly Dump Trailer Bulk Commodity Trailer End Dump Trailer Gooseneck Trailer Intermodal Chassis Logging Trailer Tank Trailer Side Dump Trailer Other
Trailer #15 Year?*
Trailer #15 Make?*
Trailer #15 VIN#?*
Trailer #15 Stated Value?*
Drivers Information: Does the Owner Drive?* Owners Date of Birth?* If the Owner is a driver or not. The insurance companies require this information.
Owners DL#?:*
Number of years Owner has had a CDL?:* Enter 0 if the Owner does not have a CDL.
Owners DL issured from which State?* Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Armed Forces Americas Armed Forces Europe Armed Forces Pacific
How many more Drivers do you need to add?* If the Owner is the only driver. Choose Zero.
Zero Add 1 Driver Add 2 Drivers Add 3 Drivers Add 4 Drivers Add 5 Drivers Add 6 Drivers Add 7 Drivers Add 8 Drivers Add 9 Drivers Add 10 Drivers Add 11 Drivers Add 12 Drivers
Driver #1 Information: Driver #1 Full Name?*
Driver #1 DOB*
Driver #1 DL#?*
Driver #1 Had their CDL how many years?*
Driver #1 DL issued in which State?* Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Armed Forces Americas Armed Forces Europe Armed Forces Pacific
Driver #2 Information: Driver #2 Full Name?*
Driver #2 DOB*
Driver #2 DL#?*
Driver #2 Had their CDL how many years?*
Driver #2 DL issued in which State?* Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Armed Forces Americas Armed Forces Europe Armed Forces Pacific
Driver #3 Information: Driver #3 Full Name?*
Driver #3 DOB*
Driver #3 DL#?*
Driver #3 Had their CDL how many years?*
Driver #3 DL issued in which State?* Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Armed Forces Americas Armed Forces Europe Armed Forces Pacific
Driver #4 Information: Driver #4 Full Name?*
Driver #4 DOB*
Driver #4 DL#?*
Driver #4 Had their CDL how many years?*
Driver #4 DL issued in which State?* Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Armed Forces Americas Armed Forces Europe Armed Forces Pacific
Driver #5 Information: Driver #5 Full Name?*
Driver #5 DOB*
Driver #5 DL#?*
Driver #5 Had their CDL how many years?*
Driver #5 DL issued in which State?* Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Armed Forces Americas Armed Forces Europe Armed Forces Pacific
Driver #6 Information: Driver #6 Full Name?*
Driver #6 DOB*
Driver #6 DL#?*
Driver #6 Had their CDL how many years?*
Driver #6 DL issued in which State?* Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Armed Forces Americas Armed Forces Europe Armed Forces Pacific
Driver #7 Information: Driver #7 Full Name?*
Driver #7 DOB*
Driver #7 DL#?*
Driver #7 Had their CDL how many years?*
Driver #7 DL issued in which State?* Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Armed Forces Americas Armed Forces Europe Armed Forces Pacific
Driver #8 Information: Driver #8 Full Name?*
Driver #8 DOB*
Driver #8 DL#?*
Driver #8 Had their CDL how many years?*
Driver #8 DL issued in which State?* Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Armed Forces Americas Armed Forces Europe Armed Forces Pacific
Driver #9 Information: Driver #9 Full Name?*
Driver #9 DOB*
Driver #9 DL#?*
Driver #9 Had their CDL how many years?*
Driver #9 DL issued in which State?* Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Armed Forces Americas Armed Forces Europe Armed Forces Pacific
Driver #10 Information: Driver #10 Full Name?*
Driver #10 DOB*
Driver #10 DL#?*
Driver #10 Had their CDL how many years?*
Driver #10 DL issued in which State?* Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Armed Forces Americas Armed Forces Europe Armed Forces Pacific
Driver #11 Information: Driver #11 Full Name?*
Driver #11 DOB*
Driver #11 DOB*
Driver #11 Had their CDL how many years?*
Driver #11 DL issued in which State?* Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Armed Forces Americas Armed Forces Europe Armed Forces Pacific
Driver #12 Information: Driver #12 Full Name?*
Driver #12 DL#?*
Driver #1 DL#?*
Driver #12 Had their CDL how many years?*
Driver #12 DL issued in which State?* Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Armed Forces Americas Armed Forces Europe Armed Forces Pacific
Cargo Information: What is your Driving Radius?* 1 to 100 miles 101 to 200 miles 201 to 300 miles 301 to 400 miles 401 to 500 miles Unlimted
What type of Freight are you Hauling?* What "Other" Freight are you Hauling?*
Additional Information required for quoting: Files (not required at his time but will speed up the quoting process) The insurance companies will require the following information before releasing quotes:
- Last 4 quarters of IFTA reports if you are required to file them.
- Loss Runs Report
- If you are being cancelled or non-renewed. We need a copy of this notice.
- If you trying to replace your policy mid-term with a better price. We need all of the above plus a copy of your current Declarations Page
Preferred files are Spreadsheets but can accept PDF or DOC files.
If you do not have all this information. Send what you have and we will start reviewing. And get the application process going.
Comments and/or Questions Comment & Questions (not required) If you have any special requests or additional information you think we should know to better serve you. Please provide that information here. If you have questions. Please ask.
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