Commercial Trucking Application

  • Commercial Trucking Application

    Built for transportation businesses with fast service and competitive pricing.

  • Applicant and Business Information

  • Submission Date*
     - -
  • Format: (000) 000-0000.

  • Operations History and Business Practices

  • Are loaded trailers ever left overnight, unattended, or detached from power units?*
  • Do you haul oversize or overweight loads?*
  • Do you haul hazardous or waste materials?*
  • Do you haul intermodal containers?*
  • Do you loan, lease, or rent equipment to others?*
  • Team driving*

  • Insurance and Loss History

  • Do you currently have insurance coverage?*
  • Any losses or claims in the last 3 years?*
  • Cancelled or non-renewed in the past 3 years?*
  • Non-trucking liability (bobtail) coverage?
  • Refrigerated breakdown coverage?
  • Vehicle breakdown coverage (roadside assistance program)?

  • Fleet and Vehicle Details

  • Routine maintenance performed on all vehicles?*
  • Vehicle equipment
  • Vehicles kept at a secure location when not in use?*

  • Driver Information and Referral Source

  • Are all drivers’ motor vehicle records, references, and background checks performed prior to hiring?*
  • Driver #1 Date of Birth*
     - -
  • Date of Original CDL License*
     - -
  • Commercial Driving Experience*
  • Driver #2 Date of Birth
     - -
  • Date of Original CDL License
     - -
  • Commercial Driving Experience
  • How did you hear about us?*
  • Policy Effective Date*
     - -
  • Should be Empty: