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Get a Quote – Personal Auto Insurance
Home
Get a Quote – Personal Auto Insurance
Step
1
of
5
20%
Personal Auto Insurance
Name
(Required)
First
Last
Email
(Required)
AUTO
Year, make and model of your vehicle
(Required)
Vehicle is owned, leased, or financed?
(Required)
Owned
Leased
Financed
Purchase Condition
(Required)
Used
New
Date of Purchase
(Required)
MM slash DD slash YYYY
Distance driven annually?
(Required)
Less than 8,000 kms
8,000 kms – 16,000 kms
16,000 kms – 24,000 kms
More than 24,000 kms
Daily commute (one-way)
(Required)
Business use (%)
(Required)
Please enter a number from
0
to
100
.
Would you like to add an additional vehicle?
Yes
No
Year, make and model of your vehicle
Vehicle is owned, leased, or financed?
Owned
Leased
Financed
Purchase Condition
Used
New
Date of Purchase
MM slash DD slash YYYY
Distance driven annually?
Less than 8,000 kms
8,000 kms – 16,000 kms
16,000 kms – 24,000 kms
More than 24,000 kms
Daily commute (one-way)
Business use (%)
Please enter a number from
0
to
100
.
PRIMARY DRIVER
Name on driver’s license
(Required)
Driver's license number
(Required)
Date of birth
(Required)
MM slash DD slash YYYY
Marital status
(Required)
Gender
(Required)
License class
(Required)
G1
G2 (probationary)
G (full)
Minor convictions in last 3 years
(Required)
At fault collisions in last 9 years
(Required)
Email
(Required)
Phone Number
(Required)
Would you like to add another driver?
Yes
No
ADDITIONAL DRIVER
Name on driver’s license
Driver license number
Date of birth
MM slash DD slash YYYY
Marital status
Gender
License class
G1
G2 (probationary)
G (full)
Minor convictions in last 3 years
At fault collisions in last 9 years
Email
Phone Number
Δ
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