Vehicle(s) and Trailer(s) This form allows you to enter up to 6 vehicles and 6 trailers. If you have more than 6 vehicles or trailers, we will reach out to you to gather the remaining information.
Vehicle 1 1. Vehicle Type* - Select - Agriculture Truck Box Truck Bucket Truck Bus Car Carrier - Flat Bed Cargo Van Catering / Lunch Truck Cement Mixer Delivery / Step Van Dump Truck Emergency Vehicle Flatbed Truck Garbage Truck Garbage Truck - Front Loader Garbage Truck - Roll-On Hearse Ice Cream Truck Limousine Military Vehicle Mini Van Motor Home Passenger Van Pickup Truck Pump Truck (Cement) Refrigerated Box Truck Sport Utility Vehicle Stake Body Truck Street Sweeper Tank Truck Tow Truck Truck Tractor Boom Truck Luxury SUV
1. Radius of Travel* Farthest one way distance vehicle typically travels.
- Select - 50 miles 100 miles 200 miles 300 miles 500 miles More than 500 miles
1. Permanently Attached Equipment? 1. Need Comprehensive or Collision Coverage? 1. Is there a loan/lease on vehicle? Add 2nd Vehicle?
Vehicle 2 2. Vehicle Type* - Select - Agriculture Truck Box Truck Bucket Truck Bus Car Carrier - Flat Bed Cargo Van Catering / Lunch Truck Cement Mixer Delivery / Step Van Dump Truck Emergency Vehicle Flatbed Truck Garbage Truck Garbage Truck - Front Loader Garbage Truck - Roll-On Hearse Ice Cream Truck Limousine Military Vehicle Mini Van Motor Home Passenger Van Pickup Truck Pump Truck (Cement) Refrigerated Box Truck Sport Utility Vehicle Stake Body Truck Street Sweeper Tank Truck Tow Truck Truck Tractor Boom Truck Luxury SUV
2. Radius of Travel* Farthest one way distance vehicle typically travels.
- Select - 50 miles 100 miles 200 miles 300 miles 500 miles More than 500 miles
2. Permanently Attached Equipment? 2. Need Comprehensive or Collision Coverage? 2. Is there a loan/lease on vehicle? Add 3rd Vehicle?
Vehicle 3 3. Vehicle Type* - Select - Agriculture Truck Box Truck Bucket Truck Bus Car Carrier - Flat Bed Cargo Van Catering / Lunch Truck Cement Mixer Delivery / Step Van Dump Truck Emergency Vehicle Flatbed Truck Garbage Truck Garbage Truck - Front Loader Garbage Truck - Roll-On Hearse Ice Cream Truck Limousine Military Vehicle Mini Van Motor Home Passenger Van Pickup Truck Pump Truck (Cement) Refrigerated Box Truck Sport Utility Vehicle Stake Body Truck Street Sweeper Tank Truck Tow Truck Truck Tractor Boom Truck Luxury SUV
3. Radius of Travel* Farthest one way distance vehicle typically travels.
- Select - 50 miles 100 miles 200 miles 300 miles 500 miles More than 500 miles
3. Permanently Attached Equipment? 3. Need Comprehensive or Collision Coverage? 3. Is there a loan/lease on vehicle? Add 4th Vehicle?
Vehicle 4 4. Vehicle Type* - Select - Agriculture Truck Box Truck Bucket Truck Bus Car Carrier - Flat Bed Cargo Van Catering / Lunch Truck Cement Mixer Delivery / Step Van Dump Truck Emergency Vehicle Flatbed Truck Garbage Truck Garbage Truck - Front Loader Garbage Truck - Roll-On Hearse Ice Cream Truck Limousine Military Vehicle Mini Van Motor Home Passenger Van Pickup Truck Pump Truck (Cement) Refrigerated Box Truck Sport Utility Vehicle Stake Body Truck Street Sweeper Tank Truck Tow Truck Truck Tractor Boom Truck Luxury SUV
4. Radius of Travel* Farthest one way distance vehicle typically travels.
- Select - 50 miles 100 miles 200 miles 300 miles 500 miles More than 500 miles
4. Permanently Attached Equipment? 4. Need Comprehensive or Collision Coverage? 4. Is there a loan/lease on vehicle? Add 5th Vehicle?
Vehicle 5 5. Vehicle Type* - Select - Agriculture Truck Box Truck Bucket Truck Bus Car Carrier - Flat Bed Cargo Van Catering / Lunch Truck Cement Mixer Delivery / Step Van Dump Truck Emergency Vehicle Flatbed Truck Garbage Truck Garbage Truck - Front Loader Garbage Truck - Roll-On Hearse Ice Cream Truck Limousine Military Vehicle Mini Van Motor Home Passenger Van Pickup Truck Pump Truck (Cement) Refrigerated Box Truck Sport Utility Vehicle Stake Body Truck Street Sweeper Tank Truck Tow Truck Truck Tractor Boom Truck Luxury SUV
5. Radius of Travel* Farthest one way distance vehicle typically travels.
- Select - 50 miles 100 miles 200 miles 300 miles 500 miles More than 500 miles
5. Permanently Attached Equipment? 5. Need Comprehensive or Collision Coverage? 5. Is there a loan/lease on vehicle? Add 6th Vehicle?
Vehicle 6 6. Vehicle Type* - Select - Agriculture Truck Box Truck Bucket Truck Bus Car Carrier - Flat Bed Cargo Van Catering / Lunch Truck Cement Mixer Delivery / Step Van Dump Truck Emergency Vehicle Flatbed Truck Garbage Truck Garbage Truck - Front Loader Garbage Truck - Roll-On Hearse Ice Cream Truck Limousine Military Vehicle Mini Van Motor Home Passenger Van Pickup Truck Pump Truck (Cement) Refrigerated Box Truck Sport Utility Vehicle Stake Body Truck Street Sweeper Tank Truck Tow Truck Truck Tractor Boom Truck Luxury SUV
6. Radius of Travel* Farthest one way distance vehicle typically travels.
- Select - 50 miles 100 miles 200 miles 300 miles 500 miles More than 500 miles
6. Permanently Attached Equipment? 6. Need Comprehensive or Collision Coverage? 6. Is there a loan/lease on vehicle?
Trailer(s) Information Do you have any trailers you want to insure?*
Trailer 1 T1. Trailer Type* - Select - Auto Hauler Bottom Dump Bulk Commodity Concession Trailer Dry Freight Trailer Dump Body Trailer Flatbed Trailer Gooseneck Trailer Horse Trailer Livestock Trailer Logging Trailer Low-Boy Trailer Pole Trailer Refrigerated Dry Freight Tank Trailer Tilt Trailer Travel Trailer Utility Trailer Wedge Trailer
T1. Radius of Travel* Farthest one way distance vehicle typically travels.
- Select - 50 miles 100 miles 200 miles 300 miles 500 miles More than 500 miles
T1. Permanently Attached Equipment? T1. Need Comprehensive or Collision Coverage? T1. Is there a loan/lease on trailer? Add 2nd Trailer?
Trailer 2 T2. Trailer Type* - Select - Auto Hauler Bottom Dump Bulk Commodity Concession Trailer Dry Freight Trailer Dump Body Trailer Flatbed Trailer Gooseneck Trailer Horse Trailer Livestock Trailer Logging Trailer Low-Boy Trailer Pole Trailer Refrigerated Dry Freight Tank Trailer Tilt Trailer Travel Trailer Utility Trailer Wedge Trailer
T2. Radius of Travel* Farthest one way distance vehicle typically travels.
- Select - 50 miles 100 miles 200 miles 300 miles 500 miles More than 500 miles
T2. Permanently Attached Equipment? T2. Need Comprehensive or Collision Coverage? T2. Is there a loan/lease on trailer? Add 3rd Trailer?
Trailer 3 T3. Trailer Type* - Select - Auto Hauler Bottom Dump Bulk Commodity Concession Trailer Dry Freight Trailer Dump Body Trailer Flatbed Trailer Gooseneck Trailer Horse Trailer Livestock Trailer Logging Trailer Low-Boy Trailer Pole Trailer Refrigerated Dry Freight Tank Trailer Tilt Trailer Travel Trailer Utility Trailer Wedge Trailer
T3. Radius of Travel* Farthest one way distance vehicle typically travels.
- Select - 50 miles 100 miles 200 miles 300 miles 500 miles More than 500 miles
T3. Permanently Attached Equipment? T3. Need Comprehensive or Collision Coverage? T3. Is there a loan/lease on trailer? Add 4th Trailer?
Trailer 4 T4. Trailer Type* - Select - Auto Hauler Bottom Dump Bulk Commodity Concession Trailer Dry Freight Trailer Dump Body Trailer Flatbed Trailer Gooseneck Trailer Horse Trailer Livestock Trailer Logging Trailer Low-Boy Trailer Pole Trailer Refrigerated Dry Freight Tank Trailer Tilt Trailer Travel Trailer Utility Trailer Wedge Trailer
T4. Radius of Travel* Farthest one way distance vehicle typically travels.
- Select - 50 miles 100 miles 200 miles 300 miles 500 miles More than 500 miles
T4. Permanently Attached Equipment? T4. Need Comprehensive or Collision Coverage? T4. Is there a loan/lease on trailer? Add 5th Trailer?
Trailer 5 T5. Trailer Type* - Select - Auto Hauler Bottom Dump Bulk Commodity Concession Trailer Dry Freight Trailer Dump Body Trailer Flatbed Trailer Gooseneck Trailer Horse Trailer Livestock Trailer Logging Trailer Low-Boy Trailer Pole Trailer Refrigerated Dry Freight Tank Trailer Tilt Trailer Travel Trailer Utility Trailer Wedge Trailer
T5. Radius of Travel* Farthest one way distance vehicle typically travels.
- Select - 50 miles 100 miles 200 miles 300 miles 500 miles More than 500 miles
T5. Permanently Attached Equipment? T5. Need Comprehensive or Collision Coverage? T5. Is there a loan/lease on trailer? Add 6th Trailer?
Trailer 6 T6. Trailer Type* - Select - Auto Hauler Bottom Dump Bulk Commodity Concession Trailer Dry Freight Trailer Dump Body Trailer Flatbed Trailer Gooseneck Trailer Horse Trailer Livestock Trailer Logging Trailer Low-Boy Trailer Pole Trailer Refrigerated Dry Freight Tank Trailer Tilt Trailer Travel Trailer Utility Trailer Wedge Trailer
T6. Radius of Travel* Farthest one way distance vehicle typically travels.
- Select - 50 miles 100 miles 200 miles 300 miles 500 miles More than 500 miles
T6. Permanently Attached Equipment? T6. Need Comprehensive or Collision Coverage? T6. Is there a loan/lease on trailer?