Auto Insurance Quote Auto Insurance QuoteIf you are human, leave this field blank.Contact InformationName*Street Number and Name*City*Postal Code*Province*OntarioAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaPrince Edward IslandQuebecSaskatchewanPhone*Email*Vehicle InformationYear*2020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981Your Vehicle Manufacturer*ACURAACURA TRUCK/VANALFA ROMEOALFA ROMEO TRUCK/VANAM GENERALAMERICAN MOTORSARROWASTON MARTINAUDIAUDI TRUCK/VANAUSTINAVANTIBEAUMONTBENTLEYBENTLEY TRUCK/VANBERTONEBITTERBMWBMW TRUCK/VANBORGWARDBRICKLINBUICKBUICK TRUCK/VANCADILLACCADILLAC TRUCK/VANCHECKERCHEVROLETCHEVROLET TRUCK/VANCHRYSLERCHRYSLER TRUCK/VANCITROENCOLTDACIADACIA TRUCK/VANDAEWOODAIHATSUDAIHATSU TRUCK/VANDAIMLERDATSUN/NISSANDATSUN/NISSAN TRUCKDELOREANDESOTODKWDODGEDODGE/RAM TRUCK/VANEAGLEEDSELENVOYEXCALIBURFARGO TRUCKSFERRARIFIATFISKERFORDFORD TRUCK/VANGENESISGEOGEO TRUCK/VANGLASGMC TRUCK/VANHILLMANHONDAHONDA TRUCK/VANHUDSONHUMBERHUMMERHYUNDAIHYUNDAI TRUCK/VANINFINITIINFINITI TRUCK/VANINNOCENTIINTERNATIONALISETTAISUZUISUZU TRUCK/VANJAGUARJAGUAR TRUCK/VANJEEPJENSENKARMAKIAKIA TRUCK/VANLADALADA TRUCK/VANLAMBORGHINILAMBORGHINI TRUCK/VALANCIALANDROVERLEXUSLEXUS TRUCK/VANLINCOLNLINCOLN TRUCK/VANLOTUSMANICMASERATIMASERATI TRUCK/VANMAYBACHMAZDAMAZDA TRUCK/VANMCLARENMERCEDES-BENZMERCEDES-BENZ TRUCKMERCURYMERCURY TRUCK/VANMETEORMGMINIMITSUBISHIMITSUBISHI TRUCK/VANMONARCHMORGANMORRISNASHNISSANNISSAN TRUCK/VANNSUOLDSMOBILEOLDSMOBILE TRUCK/VANOPELOPTIMAPACKARDPEUGEOTPLYMOUTHPLYMOUTH TRUCK/VANPONTIACPONTIAC TRUCK/VANPORSCHEPORSCHE TRUCK/VANPUMARENAULTRILEYROLLS ROYCEROLLS ROYCE TRUCK/VAROVERROVER TRUCKSAABSAAB TRUCK/VANSATURNSATURN TRUCK/VANSCIONSIMCASINGERSKODASMARTSTERLINGSUBARUSUBARU TRUCK/VANSUNBEAMSUZUKISUZUKI TRUCK/VANTESLATESLA TRUCK/VANTOYOTATOYOTA TRUCK/VANTRIUMPHTVRVANGUARDVAUXHALLVOLKSWAGENVOLKSWAGEN TRUCK/VANVOLVOVOLVO TRUCK/VANWILLYSWOLSELEYYUGOZENNVehicle 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. Submit
