• Trucking Application

  • Do you own the office space?*

  • Business Mailing Address

  • Same as Location Address?*
  • Format: (000) 000-0000.
  • Do you have a DBA?*
  • Will the business be crossing state lines?*
  • Upload COI Requirments*

  • *WE HAVE THE REQUIREMENTS OF PILAR, DSI, PILOT FREIGHT, AND RYDER ON FILE - IF YOU ARE WORKING WITH ANOTHER LOGISTICS COMPANY THAT WILL REQUIRE A CERTIFICATE OF INSURANCE, PLEASE ATTACH THEIR COI REQUIREMENTS HERE:

  • Upload OWNED Vehicle Schedule:*
  • Upload RENTED Vehicle Schedule:*
  • Select Employee Safety Measures in place:*
  • Attach a copy of each driver’s - Drivers License or upload a Driver Schedule below:*

  • Why do you need proof of my identity?

  • Insurance companies require us to verify the identity of the person who has a legal insurable interest in the item needing to be insured. If it’s a house, we need proof of identity for the person who is on the title of the home. If it’s a car, we need proof of identity from the person who owns the car. Acceptable proof of identity is a copy or a picture of the front of your drivers license or government issued ID (we do not need the barcode). If you want to add additional persons to be covered, for example a spouse or family member who is residing in the property or an additional driver, we need their information as well. If more than one person is listed on a title or ownership records, you can provide proof for only the ones needing to be covered. Without this information we cannot obtain prices on your behalf. We are pulling hundreds of quotes at the same time, for the same policy information, and auditing and compliance standards require us to have proof of your identity first in order to obtain pricing (to prevent fraudulent requests). The same rules apply to commercial insurance, if you are the owner of the business we need your proof of identity to help you.

  • Upload Driver Schedule:*
  • Attach a copy of each Driver’s Motor Vehicle Report:*
  • Is this a New Business Venture?*

  • New Venture

  • Attach the Owners Personal Auto insurance Declaration Page for the Proof of Prior discount (also known as a copy of their policy not ID Cards)*

  • Why do you need my Declaration Page?

  • Majdas Touch Insurance, Inc. is an Insurance Brokerage. We use your Declaration Page & Drivers License to obtain pricing on your behalf. We have access to 368 different insurance companies, we are licensed nationwide, and we act as a "personal shopper" of insurance. We obtain price quotes from all the available companies and find you the lowest prices with the best coverage, matching exactly what you have now, apples to apples. If we feel that you are under or often times even over insured, we will discuss coverage options with you at the time we provide you with the best pricing available. First, it is important to us to provide you with pricing matching "exactly what you have now", so that you can determine what your true savings are, and whether you want to sign up with us or not. If you obtain coverage through our office, our founder Majda Baltic will become your Agent of record meaning we will be your point of contact with whichever company you chose to proceed with regarding policy changes, proof of insurance copies, payments, coverage questions, claims, etc. The most valuable asset by doing business with us is that if your insurance company raises rates, or if you are ever unhappy with the carrier for any reason at all, we can always shop your rates time and time again. There is no limit to shopping and we get to remain your Agent for life - that is, if you will have us!


    *Extra savings perk: Having proof of prior insurance gives us the ability to add an additional discount averaging about 30%!!!


  • On brand New Ventures, without prior insurance in place, insurance carriers require an Owners Resume to be attached showing experience in the industry. *

  • Previous Insurance

  • Attach a copy of your commercial Insurance Declaration Pages for each policy; Auto, Cargo, Excess.*
  • Attach a copy of your 5 year loss runs for each account you have such as General Liability, Commercial Auto, Excess Liability, Cargo, Workers Compensations, etc.*

  • My Products*

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    Submission Fee. *Non-refundable
    Submission Fee

    *Non-refundable

    $25.00$25.00
      
    Total
    $0.00$0.00
    Debit or Credit Card

  • You are not required to pay for services or utilize our office to secure insurance services in exchange for obtaining your insurance policy. While you have chosen to collaborate with Majdas Touch Insurance, Inc., you are under no obligation to do so, and you retain the freedom to explore other brokerages without incurring any fees. The decision to continue paying this fee is entirely voluntary, and you are making it of your own accord and volition.

  • DISCLAIMER **** ALL TRUCKING QUOTES CAN TAKE AS FAST AS 24 HOURS. MULTI TRUCK AND MULTI DRIVER ACCOUNTS MAY TAKE UP TO 10 BUSINESS DAYS DEPENDING ON PRIOR CLAIMS OR BEING CLAIM FREE. IF YOU ARE CLAIM FREE, IT TAKES ABOUT 2-3 BUSINESS DAYS MAX. WE SHOP FOR THE CHEAPEST PRICES FOR YOU. WE HAVE 264 DIFFERENT INSURANCE COMPANIES CONTRACTED. YOUR QUOTE STARTS WHEN YOU SEND BACK ALL OF YOUR INFORMATION. OFFERING: COMMERCIAL AUTO, GENERAL LIABILITY, MOTOR CARGO, EXCESS LIABILITY, FIDELITY BOND, EMPLOYEE DIHONESTY BOND, AND COVERAGE FOR ADDITIONAL INTEREST, BUSINESS OWNERS’ POLICIES, ANY PERSONAL LINES AUTO, HOME, LIFE, BOAT, RECREATIONAL, EXOTIC, LUXURY, AND MANY MORE!

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