Auto Insurance Quote Auto Insurance QuoteContact InformationName*Street Number and Name*City*Postal Code*Province*OntarioAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaPrince Edward IslandQuebecSaskatchewanPhone*Email*Vehicle InformationModel Year*202320222021202020192018201720162015201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982Your Vehicle Manufacturer*ACURAALFA ROMEOAM GENERALAMERICAN MOTORSARROWASTON MARTINAUDIAUSTINAVANTIBEAUMONTBENTLEYBERTONEBITTERBMWBORGWARDBRICKLINBUICKCADILLACCHECKERCHEVROLETCHRYSLERCITROENCOLTDACIADAEWOODAIHATSUDAIMLERDATSUN/NISSANDELOREANDESOTODKWDODGE/RAMEAGLEEDSELENVOYEXCALIBURFARGOFERRARIFIATFISKERFORDFREIGHTLINERGENESISGEOGLASGMCHILLMANHONDAHUDSONHUMBERHUMMERHYUNDAIINFINITIINNOCENTIINTERNATIONALISETTAISUZUJAGUARJEEPJENSENKARMAKIALADALAMBORGHINILANCIALAND ROVERLEXUSLINCOLNLOTUSLUCIDMANICMASERATIMAYBACHMAZDAMCLARENMERCEDES-BENZMERCURYMETEORMGMINIMITSUBISHIMONARCHMORGANMORRISNASHNISSANNSUOLDSMOBILEOPELOPTIMAPACKARDPEUGEOTPLYMOUTHPOLESTARPONTIACPORSCHEPUMARENAULTRILEYRIVIANROLLS ROYCEROVERSAABSATURNSCIONSIMCASINGERSKODASMARTSTERLINGSUBARUSUNBEAMSUZUKITESLATOYOTATRIUMPHTVRVANGUARDVAUXHALLVOLKSWAGENVOLVOWILLYSWOLSELEYYUGOZENNVehicle Model* Is your car leased*NoYesWhen did you buy or lease?*Main use of your vehicleTravel to workPleasureBusinessFarmYour daily commute (one way)0KM0-5KM6-10KM11-15KM16-20KM21-25KM26-30KM31-35KM36-40KM41-45KM46-50KM51-75KM76-100KMOVER 100KMTotal Annual Km 0-3000KM3001-5000KM5001-7500KM7500-10000KM10001-15000KM15001-20000KMMore then 20000KMDo you use Winter Tires?* Yes NoWhere is this vehicle parked at night?*Private GarageCarportPrivate DrivewayParking lotStreetOutdoor StorageIndoor StorageCovered ParkingUnderground ParkingOtherCoverage and Deductible PreferencesLiability coverage* $1 Million $2 MillionCollision deductible* $500 $1000 DeclineComprehensive deductible* $300 $500 $1000 DeclineDriver InformationYour birthday*Gender*MaleFemaleMarital Status*SingleMarriedDivorcedWidowedCommon LawEmployment Status*UnemployedEmployedRetiredOtherYour current license*GG1G2G License Date*G2 License Date*G1 License DateDid you complete a recognized driver training course?*YesNoDriving HistoryAre you currently insured?*YesNoCurrent policy expiration date*Has your most recent auto insurance lapsed for non-payment?*YesNoLicense suspensions (Last 6 years)*0123456789Accidents (Last 10 years)0123456789Add additional comments here:Licences #'s etc. EmailIf you are human, leave this field blank. Next
