Federal Insurance - Comercial Vehicle Insurance Quote

To speak to a representative directly from 9:00 - 5:30 Mon- Fri please call 1-888-311-1310

First Name*
Last Name*
Phone Number*
Email*
Street Adress*
City*
State*
Zip*
Business Description*
For your information: On MOST commercial vehicle policies coverage does not follow the driver to all vehicles driven(as is the case with a personal policy), only while operating a vehicle listed on the same policy. For interstate/long haul trucking please fill out the section at the bottom of the page.
Driver 1
Name
Drivers License Number
Date of Birth
Commercial Drivers License (CDL)
If necessary, please list all tickets and/or accidents in the last three years
Driver 2
Name
Drivers License Number
Date of Birth
Commercial Drivers License (CDL)
If necessary, please list all tickets and/or accidents in the last three years
Driver 3
Name
Drivers License Number
Date of Birth
Commercial Drivers License (CDL)
For your information: please list trailers as an additional vehicle with vin # if available. Also, you may add a personal vehicle to a business policy.
Do you currently have general liability coverage for your business?
Vehicle 1
Year
Make
Model
Vin# (if available)
Amount of liability coverage requested
Would you like un-insured/underinsured motorist coverage?
If so what limits would you like? (Must be equal to or less than liability coverage)
Would you like Medical Payments coverage?
Would you like comprehensive and collision coverage?
If so what deductible would you like?
Vehicle Use
Radius (How far from garaging zip vehicle will travel one way)
Vehicle 2
Year
Make
Model
Vin# (if available)
Amount of liability coverage requested
Would you like un-insured/underinsured motorist coverage?
If so what limits would you like? (Must be equal to or less than liability coverage)
Would you like Medical Payments coverage?
Would you like comprehensive and collision coverage?
f so what deductible would you like?
Vehicle Use
Radius (How far from garaging zip vehicle will travel one way)
Vehicle 3
Year
Make
Model
Vin# (if available)
Amount of liability coverage requested
Would you like un-insured/underinsured motorist coverage?
If so what limits would you like? (Must be equal to or less than liability coverage)
Would you like Medical Payments coverage?
Would you like comprehensive and collision coverage?
If so what deductible would you like?
Vehicle Use
Radius (How far from garaging zip vehicle will travel one way)

Do you haul goods for others for a fee?
Do you have current or prior coverage?
If so what company?
Please give a brief description of commodities hauled
Have you had any losses/claims?
Do you now or in the future plan to haul explosives or hazardous materials?
Additional Comments




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