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Get a Quote – Auto

Auto Insurance Quote Request

Get a Quote - Auto
Have you ever had any cancellations, accidents, tickets, or gaps in insurance? *
Address *
Address
City
Province
Postal Code
Do you own a home or rent? *
Do you agree with the following consent statement? *

As your broker, I am gathering this consent on behalf of the insurer who advises me that: in respect of this quotation/application, any policy we issue and subsequent renewals or changes, we may collect,use and disclose personal information reports including policy history, claims history, investigative information, rating information, risk information and only with respect to you, your personal credit information including credit score, as permitted by law and in accordance with our privacy policies.

Do you, and on behalf of others listed, authorize use to collect, use and disclose to appropriate third parties, including your broker, this information solely relating to your personal property policy for the purposes necessary to assess the risk, determine a premium, determine eligibility and conditions for a premium payment plan, investigate and settile claims, analyze business results and detect and prevent fraud?

Vehicle Information

Coverages

Is the vehicle leased or financed? *
Liability *
Loss / Damage *

Distance Driven

Business Use *
Click 'Add' if you like to add another vehicle.

Driver

Click 'Add' if you like to add another driver.

Any Additional Information

×

Please contact our office to speak with a representative at 1-833-870-9324