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Get A Quote
Please have the following information at hand:
Year, make, model of vehicle to be quoted
Driving records, licence and claim information
Car Insurance Quote
Step 1 of 3
33%
Full Name
*
Postal Code
*
Postal code where vehicles are kept
Driver's Licence Number
*
Coverages Requested
Liability
Collision
Comprehensive
Loss of Use
Accident Waiver
How did you hear about us?
*
Family or Friend
Online Advertising
Social Media
Radio
Billboard
Google
Other
Phone
*
Email Address
Vehicle Details
Vehicle Year
Vehicle Make
Vehicle Model
VIN Number (if possible)
Purchase Date
Date Format: MM slash DD slash YYYY
Primary Use
*
Pleasure and errands only
Commuting (work or school)
Business Use
Commercial Use (trades/deliveries etc)
Total Kilometres Driven Annually
Total Kilometres Driven to Work (One way)
Your History
Date of Completion of G1
Date of Completion of G2
Date of Completion of G
Have you completed Driver Training?
Yes
No
Have you been issued any tickets in the past 3 years?
No
Yes
Year of Ticket:
Type of Ticket
Speeding
Distracted Driving
Impaired Driving
Careless Driving
Minor Traffic Violation
Failure to have Insurance Card
Have you had any accidents in the past 10 years?
No
Yes
Were you at fault or not at fault?
At fault
Not at fault
Year of Accident
Month of Accident
January
February
March
April
May
June
July
August
September
October
November
December
Has your licence ever been suspended?
No
Yes
Reason for Licence Suspension
Year of Licence Suspension
Month of Licence Suspension
January
February
March
April
May
June
July
August
September
October
November
December
Year of Licence Reinstatement
Month of Licence Reinstatement
January
February
March
April
May
June
July
August
September
October
November
Decemeber
Have you ever been cancelled for non-payment by an insurance provider?
No
Yes
Year of Cancellation
Month of Cancellation
January
February
March
April
May
June
July
August
September
October
November
December
For how long did your insurance lapse, if at all?
Start date of your next policy
Do you have winter tires?
Yes
No
How many years have you been continuously insured with the same insurance company?
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