• Welcome!

    Before you start, gather the following: your DOT/MC numbers, EIN, vehicle and driver lists, top shipper/broker names, gross receipts and mileage.

    If everything is in front of you, this takes about 10-12 minutes.

     

  • How did you hear about us?

  • Business Information

  • Physical Location/ Garage Details

  • Not all carriers write every zip code. Your garaging address helps us narrow down which markets are actually a fit for your operation before we start quoting.

     

  • Contact Information

  • Business Owner & Experience

  • Underwriters want to know how your operation actually runs — not just what you haul, but how long you've been doing it and what your background looks like. This section helps us tell your story in a way that works in your favor.

     

  • Have you previously owned/operated a trucking company?

  • Operational Data

    This helps carriers understand how your operation has grown and where it's headed. If you don't have exact numbers, your best estimate works.

  • Gross Revenue helps determine whether you qualify for a reporting-based policy — one where your premium adjusts with your actual business activity instead of being locked to a flat annual estimate. This can protect your cash flow if your revenue is seasonal or growing. If you don't have exact numbers, your best estimate works.

  • Communication Preferences

  • Let us know how and how often you want to hear from us. We'll use this to make sure we're reaching you the right way — whether that's a quick text, a call, or an email.

     

  • Language Preference
  • Contact Preference - Select all that apply
  • Weekly, Bi-weekly, Monthly Newsletters

  • Coverage & Growth Plans

  • Before we can quote accurately, we need to know what you have in place today and what's changing. This section covers your documentation status and any planned growth.

     

  • Our carriers generally do not permit team driving. However, the possibility of team driving arrangements can be evaluated on a case-by-case basis. Underwriting will review your 5-year loss history, SMS scores, and safety practices before a decision is made.

  • Area of Operations

  • States you travel into or through:

  • Shippers

  • This gives carriers a clearer picture of your operation, which supports a stronger, more accurate submission on your behalf. What you haul and how concentrated your freight is with each shipper both factor into how your risk is rated

  • Rows

  • Safety & Controls

  • Safety programs tell underwriters a lot about how you run your business. This section covers your equipment, monitoring, and the support you have in place — the stronger your safety story, the better we can position your account with carriers.

     

  • Safety Company & Support

  • Commodities

  • High-theft commodities are goods that are particularly susceptible to theft due to their desirability, market value, or ease of resale. Here's a list of some high-theft commodities: Electronics, Liquor and Tobacco Products, Pharmaceuticals, Designer Clothing and Accessories, Automotive Parts, Appliances.

     

  • Coverages

    Tell us what coverages you need and the limits you're looking for. If you're not sure, we'll walk you through it — but having a starting point helps us shop your account faster.
  • ⚠️ If you're requesting Trailer Interchange, you'll need to email a signed copy of your agreement to mail@btpinsuranceservices.com before we can bind.

     

  • Truck-Tractor List

  • Trailer List

  • What kind of trailers will you utilize?

  • Driver Safety & Information

  • These questions help carriers understand how you hire and manage drivers — and give us what we need to quote workers' compensation if it's part of your coverage package.

     

  • Rows
  • Does your driver selection include:
  • MVR Frequency After Hire:
  • What is the basis for driver pay:
  • How do you pay drivers:

  • Driver List

  • Should be Empty: