Trucking Insurance Quote

Complete the details below to get your free trucking insurance quote

Quick Quote

* Indicates required field

FEIN # *

Company Name *

Years in Business *

How many Employee *

Trucks Parked At: *

DOT # *

Contract or Common Carrier *

Email *

Phone Number *

Effective Date *

Contact Person *

First

Last

MC # *

Address *

Line 1

Line 2

City

State

Zip Code

Country

If you have more than 3 trucks, trailers and/or drivers please list on the equipment & driver page below

History of Operations

Prior Year

Number of Trucks *

Total Miles *

Gross Receipts *

Current Year

Number of Trucks *

Total Miles *

Gross Receipts *

Cargo Transported

Type of Cargo *

Maximum value *

% Transported *

Average value *

Vehicle Schedule

Truck #1

Year *

Make *

Model *

VIN # *

State Value *

Lienholder (if none, leave blank) *

Truck #2 (if necessary)

Year (Truck 2) *

Make (Truck 2) *

Model (Truck 2) *

VIN # (Truck 2) *

State Value (Truck 2) *

Lienholder Truck 2 (if none, leave blank) *

Truck #3 (if necessary)

Year (Truck 3) *

Make (Truck 3) *

Model (Truck 3) *

VIN # (Truck 3) *

State Value (Truck 3) *

Lienholder Truck 3 (if none, leave blank) *

Trailer #1

Year *

Make *

Model *

VIN # *

Stated Value *

Lienholder (if none, leave blank) *

Trailer #2 (if necessary)

Year (Trailer 2) *

Make (Trailer 2) *

Model (Trailer 2) *

VIN # (Trailer 2) *

Stated Value (Trailer 2) *

Lienholder Trailer 2 (if none, leave blank) *

Year (Trailer 3) *

Make (Trailer 3) *

Model (Trailer 3) *

VIN # (Trailer 3) *

Stated Value (Trailer 3) *

Lienholder Trailer 3 (if none, leave blank) *

If more than 3 trucks or trailers, please attach a separate equipment schedule

Upload File *

Max file size: 20MB

Driver's Employed, including Company Owner = E Independent Contractors = O

Primary Driver Name *

State *

License # *

Date of Birth *

Hire Date *

Years with Class A CDL *

Driver 2 Name (if necessary) *

State (D2) *

License # (D2) *

Date of Birth (D2) *

Hire Date (D2) *

Years with Class A CDL (D2) *

Driver 3 Name (if necessary) *

State (D3) *

License # (D3) *

Date of Birth (D3) *

Hire Date (D3) *

Years with Class A CDL (D3) *

Equipment Schedule & Driver Roster

Name of Trucking Company: *

Truck #1

Year *

Make *

Model *

VIN # *

Stated Value *

Owned or Leased *

Paid Off? *

Truck #2 (if necessary)

Year (Truck 2) *

Make (Truck 2) *

Model (Truck 2) *

VIN # (Truck 2) *

Stated Value (Truck 2) *

Owned or Leased (Truck 2) *

Paid Off? (Truck 2) *

Truck #3 (if necessary)

Year (Truck 3) *

Make (Truck 3) *

Model (Truck 3) *

VIN # (Truck 3) *

Stated Value (Truck 3) *

Owned or Leased (Truck 3) *

Paid Off? (Truck 3) *

Truck #4 (if necessary)

Year (Truck 4) *

Make (Truck 4) *

Model (Truck 4) *

VIN # (Truck 4) *

Stated Value (Truck 4) *

Owned or Leased (Truck 4) *

Paid Off? (Truck 4) *

Trailer Information

Trailer #1

Year *

Make *

Model *

VIN # *

Stated Value *

Owned or Leased *

Paid Off? *

Trailer #2 (if necessary)

Year (Trailer 2) *

Make (Trailer 2) *

Model (Trailer 2) *

VIN # (Trailer 2) *

Stated Value (Trailer 2) *

Owned or Leased (Trailer 2) *

Paid Off? (Trailer 2) *

Trailer #3 (if necessary)

Year (Trailer 3) *

Make (Trailer 3) *

Model (Trailer 3) *

VIN # (Trailer 3) *

Stated Value (Trailer 3) *

Owned or Leased (Trailer 3) *

Paid Off? (Trailer 3) *

Trailer #4 (if necessary)

Year (Trailer 4) *

Make (Trailer 4) *

Model (Trailer 4) *

VIN # (Trailer 4) *

Stated Value (Trailer 4) *

Owned or Leased (Trailer 4) *

Paid Off? (Trailer 4) *

Driver Information

Primary Driver Name *

Driver's License Number: *

Date of Birth *

State of Licensed *

Gender *

Date of Hire *

Driver 2 Name (if necessary) *

Driver's License Number (D2) *

Date of Birth (D2) *

State of Licensed (D2) *

Gender (D2) *

Date of Hire (D2) *

Driver 3 Name (if necessary) *

Driver's License Number (D3) *

State of Licensed (D3) *

Date of Birth (D3) *

Gender (D3) *

Date of Hire (D3) *

Driver 4 (if necessary) *

Driver's License Number (D4) *

State of Licensed (D4) *

Date of Birth (D4) *

Gender (D4) *

Date of Hire (D4) *

🔒 Your information is secure.

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Trident Insurance Brokers
3250 Bloor Street West
East Tower , Suite 600
Toronto, ON M8X 2X9
Phone: (416) 775-9452 or
Toll free (844) 303-6026
Fax: (888) 351-3865
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Disclaimer: No coverage will be bound, added, altered, changed or cancelled as a result of submitting a request for information or quotation of insurance. Only coverage that has been confirmed bound by Trident Insurance Brokers Inc. or any of its affiliated companies will be considered bound. Coverage is also subject to an acceptable signed application while meeting the underwriting guidelines of the Insurance Company providing coverage.