Tow Truck Insurance Quote

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Tow Truck Insurance Quote

Tow Truck Insurance for a Business can be complicated, out simple form allows us to rate your coverage request simply and easily to assist you in obtaining auto insurance for your business.

Your Full Name*

First Last

Full Legal Business Name or DBA*

Your entity is*

If you are operating under a DBA, what is the name of the DBA?

Email*

Phone Number*

Fax Number

Alt Phone Number (cell, home)

Mailing Address*

Street Address Address Line 2 City State ZIP Code

Website

Date Business Started*

Brief Description of Your Operations:*

I.E. Repo work, mechanic shop, police towing, road service...

Is your physical address of your operation different from your mailing address?

Yes

What is the physical address of your operation?*

Street Address ZIP / Postal Code

Tow Truck Insurance Quote: Vehicle Information

What percent of your work is repossession?*

What percent of your work is towing ticketed cars or scofflaws?*

What will you be towing?

Select all that apply

My Own Vehicles

Vehicles of others on demand (For Hire)

Vehicles of my clients for my mechanic or body shop

Vehicles as part of my Road Service Operation

Ticketed or Illegally Parked Scofflaw Vehicles

Vehicles being repossessed

Do you offer 24 hour a day service?*

Yes

Does your operation have contracts with of the following?

Select all that apply

Motor Club (AAA, Roadside Service, etc.)

Rotational Programs (city, county, police, highway patrol)

Garage / Repair Facilities or Auto Dealers

Salvage yards, Auctions, etc.

Private Property Owners (apartments, shopping centers)

Other

If other, please explain.*

How many trucks do you have*

Vehicle 1 Year*

Make*

Model*

VIN

How far does this vehicle normally travel?*

0-50 Miles

50-100 Miles

100-250 Miles

250-500 Miles

> 500 Miles

Vehicle Type*

Flatbed - Single Axle

Flatbed - Dual Axle

Wrecker - Single Axle

Wrecker - Dual Axle

Car Carrier - Covered

Car Carrier - Open

Car Carrier - Rollback

Pick Up Truck

Box Truck

Private Passenger

Tractor

Truck Trailer

Van - Cargo

Van - Passenger

Other

How many vehicles does the carrier hold*

Vehicle Use*

Towing

Commuting

Client Visits

Personal Use

Commercial Use

Hauling Cargo

Gross Vehicle Weight*

Vehicle Safety & Security Discounts*

Select all that apply

None

Automatic Seatbelts

Antilock Brakes

Daytime Running Lights

Airbags

Alarm System

GPS Driver Tracking & Monitoring

VIN Etching

Vehicle Recovery System

Cabin Cameras

On Hook Coverage*

This provides for coverage for physical damage to vehicles that you are towing/flat bedding.

Comprehensive Deductible*

Collision Deductible*

Current Vehicle Value*

Vehicle 2 Year*

Make*

Model*

VIN

How far does this vehicle normally travel?*

0-50 Miles

50-100 Miles

100-250 Miles

250-500 Miles

> 500 Miles

Vehicle Type*

Flatbed - Single Axle

Flatbed - Dual Axle

Wrecker - Single Axle

Wrecker - Dual Axle

Car Carrier - Covered

Car Carrier - Open

Car Carrier - Rollback

Pick Up Truck

Box Truck

Private Passenger

Tractor

Truck Trailer

Van - Cargo

Van - Passenger

Other

How many vehicles does the carrier hold*

Vehicle Use*

Towing

Commuting

Client Visits

Personal Use

Commercial Use

Hauling Cargo

Gross Vehicle Weight*

Vehicle Safety & Security Discounts*

Select all that apply

None

Automatic Seatbelts

Antilock Brakes

Daytime Running Lights

Airbags

Alarm System

GPS Driver Tracking & Monitoring

VIN Etching

Vehicle Recovery System

Cabin Cameras

Comprehensive Deductible*

Collision Deductible*

Current Vehicle Value*

On Hook Coverage (Cargo)*

Vehicle 3 Year*

Make*

Model*

VIN

How far does this vehicle normally travel?*

0-50 Miles

50-100 Miles

100-250 Miles

250-500 Miles

> 500 Miles

Vehicle Type*

Flatbed - Single Axle

Flatbed - Dual Axle

Wrecker - Single Axle

Wrecker - Dual Axle

Car Carrier - Covered

Car Carrier - Open

Car Carrier - Rollback

Pick Up Truck

Box Truck

Private Passenger

Tractor

Truck Trailer

Van - Cargo

Van - Passenger

Other

How many vehicles does the carrier hold*

Vehicle Use*

Towing

Commuting

Client Visits

Personal Use

Commercial Use

Hauling Cargo

Gross Vehicle Weight*

Vehicle Safety & Security Discounts*

Select all that apply

None

Automatic Seatbelts

Antilock Brakes

Daytime Running Lights

Airbags

Alarm System

GPS Driver Tracking & Monitoring

VIN Etching

Vehicle Recovery System

Cabin Cameras

Comprehensive Deductible*

Collision Deductible*

Current Vehicle Value*

On Hook Coverage (Cargo)*

Vehicle 4 Year*

Make*

Model*

VIN

How far does this vehicle normally travel?*

0-50 Miles

50-100 Miles

100-250 Miles

250-500 Miles

> 500 Miles

Vehicle Type*

Flatbed - Single Axle

Flatbed - Dual Axle

Wrecker - Single Axle

Wrecker - Dual Axle

Car Carrier - Covered

Car Carrier - Open

Car Carrier - Rollback

Pick Up Truck

Box Truck

Private Passenger

Tractor

Truck Trailer

Van - Cargo

Van - Passenger

Other

How many vehicles does the carrier hold*

Vehicle Use*

Towing

Commuting

Client Visits

Personal Use

Commercial Use

Hauling Cargo

Gross Vehicle Weight*

Vehicle Safety & Security Discounts*

Select all that apply

None

Automatic Seatbelts

Antilock Brakes

Daytime Running Lights

Airbags

Alarm System

GPS Driver Tracking & Monitoring

VIN Etching

Vehicle Recovery System

Cabin Cameras

Comprehensive Deductible*

Collision Deductible*

Current Vehicle Value*

On Hook Coverage (Cargo)*

Vehicle 5 Year*

Make*

Model*

VIN

How far does this vehicle normally travel?*

0-50 Miles

50-100 Miles

100-250 Miles

250-500 Miles

> 500 Miles

Vehicle Type*

Flatbed - Single Axle

Flatbed - Dual Axle

Wrecker - Single Axle

Wrecker - Dual Axle

Car Carrier - Covered

Car Carrier - Open

Car Carrier - Rollback

Pick Up Truck

Box Truck

Private Passenger

Tractor

Truck Trailer

Van - Cargo

Van - Passenger

Other

How many vehicles does the carrier hold*

Vehicle Use

Towing

Commuting

Client Visits

Personal Use

Commercial Use

Hauling Cargo

Gross Vehicle Weight*

Vehicle Safety & Security Discounts*

Select all that apply

None

Automatic Seatbelts

Antilock Brakes

Daytime Running Lights

Airbags

Alarm System

GPS Driver Tracking & Monitoring

VIN Etching

Vehicle Recovery System

Cabin Cameras

Comprehensive Deductible*

Collision Deductible*

Current Vehicle Value*

On Hook Coverage (Cargo)*

Driver Information

How many drivers will be operating vehicles?*

Driver - If the owner is a driver, this should be the owner of the company.

Name*

First Last

Date of Birth*

MM slash DD slash YYYY

Marital Status*

Years Licensed*

Less than 1 year

1 to 3 years

Greater than 3 years

State Licensed In*

Driver License Number*

Driver Discounts

Commercial Driver License

Defensive Driver

Driving Incidents*

Enter all driver incidents in the last 4 years: Accidents, Suspensions, Violations.

Incident

Date

Is this driver the owner of the operation?*

Yes

What is the owners home address?*

Street Address ZIP Code

Name Driver 2*

First Last

Date of Birth*

MM slash DD slash YYYY

Marital Status*

Years Licensed*

Less than 1 year

1 to 3 years

Greater than 3 years

State Licensed In*

Driver License Number*

Driver Discounts

Commercial Driver License

Defensive Driver

Driving Incidents*

Enter all driver incidents in the last 4 years: Accidents, Suspensions, Violations.

Incident

Date

Name Driver 3*

First Last

Date of Birth*

MM slash DD slash YYYY

Marital Status*

Years Licensed*

Less than 1 year

1 to 3 years

Greater than 3 years

Driver License Number*

State Licensed In*

Driver Discounts

Commercial Driver License

Defensive Driver

Driving Incidents*

Enter all driver incidents in the last 4 years: Accidents, Suspensions, Violations.

Incident

Date

Name Driver 4*

First Last

Date of Birth*

MM slash DD slash YYYY

Marital Status*

Years Licensed*

Less than 1 year

1 to 3 years

Greater than 3 years

State Licensed In*

Driver License Number*

Driver Discounts

Commercial Driver License

Defensive Driver

Driving Incidents*

Enter all driver incidents in the last 4 years: Accidents, Suspensions, Violations.

Incident

Date

Name Driver 5*

First Last

Date of Birth*

MM slash DD slash YYYY

Marital Status*

Years Licensed*

Less than 1 year

1 to 3 years

Greater than 3 years

State Licensed In*

Driver License Number*

Driver Discounts

Commercial Driver License

Defensive Driver

Driving Incidents*

Enter all driver incidents in the last 4 years: Accidents, Suspensions, Violations.

Incident

Date

Name Driver 6*

First Last

Date of Birth*

MM slash DD slash YYYY

Marital Status*

Years Licensed*

Less than 1 year

1 to 3 years

Greater than 3 years

State Licensed In*

Driver License Number*

Driver Discounts

Commercial Driver License

Defensive Driver

Driving Incidents*

Enter all driver incidents in the last 4 years: Accidents, Suspensions, Violations.

Incident

Date

Name Driver 7*

First Last

Date of Birth*

MM slash DD slash YYYY

Marital Status*

Years Licensed*

Less than 1 year

1 to 3 years

Greater than 3 years

State Licensed In*

Driver License Number*

Driver Discounts

Commercial Driver License

Defensive Driver

Driving Incidents*

Enter all driver incidents in the last 4 years: Accidents, Suspensions, Violations.

Incident

Date

Insurance Claims

List all CLAIMS and ACCIDENTS in the last 3 years - Include all Chargeable or Non-Chargeable

Have your operation had any insurance claims at all in the last 5 years?*

Yes

List all insurance claims in the last 5 years.*

Date

Type of Claim

Claim Amount $

Current Insurance Information

Are you currently, or were you previously insured under a commercial auto policy?*

Yes - Current

Yes - Expired or Lapsed

No Current or Previous Insurance

How long have you had a continuous commercial auto insurance policy?*

What is the name of your current or prior COMMERCIAL AUTO insurance carrier?*

Do not enter the name of your broker or finance company.

Current or prior AUTO insurance expiration date or cancellation date*

MM slash DD slash YYYY

What LIABILITY LIMITS Are on your current/prior policy?*

Bodily Injury Per Person/Bodily Injury Per Accident/Property Damage

25,000/50,000/10,000

25,000/50,000/25,000

50,000/100,000/50,000

100,000/100,000/100,000

250,000/500,000/100,000

250,000/500,000/250,000

300,000/300,000/350,000

500,000/500,000/500,000

500,000/1,000,000/500,000

750,000/750,000/750,000

1,000,000/1,000,000/1,000,000

2,000,000/2,000,000/2,000,000

Current or prior ANNUAL insurance premium*

Are you currently, or were you previously insured under a General Liability or Business Owners Insurance Policy?*

Yes - Current

Yes - Expired

What is the name of your current or prior General Liability or Business Owners Insurance Policy carrier?*

Do not enter the name of your broker or finance company.

Current or prior LIABILITY insurance expiration date or cancellation date*

MM slash DD slash YYYY

Coverage Information

What is your company's Federal Tax ID #*

What LIABILITY LIMITS would you like*

Bodily Injury Per Person/Bodily Injury Per Accident/Property Damage

25,000/50,000/10,000

25,000/50,000/25,000

50,000/100,000/50,000

100,000/100,000/100,000

250,000/500,000/100,000

250,000/500,000/250,000

300,000/300,000/350,000

500,000/500,000/500,000

500,000/1,000,000/500,000

750,000/750,000/750,000

1,000,000/1,000,000/1,000,000

2,000,000/2,000,000/2,000,000

Do your currently have Workers Comp coverage?*

Yes

Finance Information

Ever filed Bankruptcy or Reorganization*

Yes

Has coverage been Declined, canceled or non-renewed in last 5 years*

Yes

If so, why?*

Final Details

How soon do you need this quote*

Date quote needed by

MM slash DD slash YYYY

What date do you need this coverage to start?*

MM slash DD slash YYYY

How did you hear about us?

If you were referred, who can we thank with a nice gift?

What other coverages are you interested in?*

General Liability

Garage Keepers Legal Liability

Workers Comp

Disability

Hired & Non-Owned Auto Liability

Group Health

Employment Practices Liability

Business Property / Tools

Business Income Coverage

What General Liability Limit do you require?*

$100,000

$200,000

$300,000

$500,000

$1,000,000

$2,000,000

What Garage Keepers Liability Limit do you require?*

$25,000

$50,000

$75,000

$100,000

Other

What is the address of the lot that vehicles will be stored at?*

Street Address Address Line 2 City State ZIP Code

What is your gross ANNUAL revenue*

What is your total annual payroll?*

How many male employees do you have?

How many female employees do you have?

Other things I want to tell you that you didn't ask. Additional comments, concerns, circumstances, or coverages you have/want.

Name

This field is for validation purposes and should be left unchanged.