Initial insurance submission

Trucking Insurance Quote Request

Complete one guided form for Commercial Auto Liability, Motor Truck Cargo and Cargo Liability. You can save a draft on this device and return before submitting.

Before you start

Have your vehicle schedule, driver list, loss runs and current policy details available. An initial submission is not a binder and does not create coverage.

Commercial Auto LiabilityMotor Truck CargoCargo LiabilityAuto Physical DamageCommercial General Liability

Client document checklist

Current policy/declarations and renewal terms
Five-year Auto Liability, Auto Physical Damage and Motor Truck Cargo loss runs
Vehicle and trailer schedule: year, make/model, VIN, ownership, ACV and loss payee
Driver schedule: name, DOB, licence, class and Canada/US experience
CVOR/NSC or equivalent carrier profile
Ownerships, lease/owner-operator agreements and sample shipping contracts
Detailed commodity mix totalling 100%, with average and maximum values
Terminal security details and applicable filings

Questions? Call 905-672-9172.

1. Applicant and contact

Tell us who is applying and how we should contact you.

Legal business name*Operating name / DBAContact name*Email*Phone*WebsiteStreet address*City*Province / Territory*Postal code*Year establishedYears of trucking experience*

4. Fleet and drivers

Add every owned and owner-operator unit to be insured. VINs may be provided now or uploaded in a schedule.

Units
Type	Year	Make / model	VIN	ACV	Remove

Drivers

Drivers
Name	Date of birth	Licence number	Class	Canada/US experience	Remove

5. Commodities and cargo exposure

Do not enter “general freight.” List specific commodities. Percent hauled should total 100%.

Commodities
Commodity	% hauled	Average value	Maximum value	Remove

Total hauled: 0%

Refrigerated loads?Highest value commodityTrailer interchange limitUnattended truck limitOptional cargo cover requested

6. Loss history and documents

Provide all Auto Physical Damage, Auto Liability and Motor Truck Cargo losses for the last five years, whether insured or not.

Losses
Date	Coverage	Status	Paid	Reserve	Description	Remove

Policy cancelled or non-renewed in past 5 years?If yes, explainSupporting documentsRecommended: current policy/declarations, 5-year loss runs, vehicle schedule, driver schedule, CVOR/NSC profile, ownerships/leases and sample contracts. PDF, JPG, PNG, XLSX, CSV or DOCX. Up to 8 files, 5 MB each.