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Home » Business Insurance » Commercial Auto Insurance » Commercial Auto Insurance Application

Commercial Auto Insurance Application

Submission of this information does not represent a binding of any insurance contract or agreement. Additional information may be required in order to get an accurate quote of insurance.

Step 1 of 3

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  • Let Us Know Which Car You Drive

  • How Many KM Do You Drive to Work 1-Way

  • This includes going to work or bus/subway station.
  • How Many KM Do You Drive Annually

  • Who Is The Primary Driver?

  • MM-DD-YYYY
  • Postal Code of Where The Vehicle Is Normally Garaged/Parked
  • Please Tell Us About Your Driving Record

    Please add any ticket,s claims, accidents or cancellations you may have had

    Such As: Speeding, Distracted Driving..etc
    Such As: Non-Payment of Premium, Medical Reason, Non-Disclosure..etc
    Such As: Alcohol/Drug Related, Demerit Points or Convictions..etc
    Such As Hitting an Object, Hitting Another Vehicle ..etc
    Collisions..etc
    Such as hitting a deer, windshield damage, theft of vehicle or fire.
  • Your Contact Info

Help and SupportContact

Toronto Location

339 Roncesvalles Avenue
Toronto M6R 2M8
Phone: 416 531 4647
Fax: 416 531 2396

Tillsonburg Location

19 Ridout Street West
Tillsonburg N4G2C8
Phone: 519 842 7584
Fax: 519 842 7584

Mississauga Location

1295 Burnhamthorpe Rd E L4Y 3V7
Mississauga L4Y 3V7
Phone: 905 206 0707
Fax: 905 206 0707

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