Trucking Application

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)*
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
Current Insurance Renewal Date*
Enter the date of your current renewal, if multiple policies, enter the date of the one coming up first
Prior Commercial Insurance Name*
Which Company? If multiple, list each one.
Attach a copy of your commercial Insurance Declaration Pages for each policy; Auto, Cargo, Excess.*
Any prior claims?*
List the number of prior claims
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.*

Acknowledged and agreed by client:*

Clear
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!
Sub Agency
Should be Empty:

New Venture