Truck Insurance

Phone

Company name

Mailing address

Garage address (where the vehicle is stored)

DOT

MC (if applies)

Tax ID / FEIN

VIN

Since when do they have CDL? (if applies)

Paid or financed? (if financed, indicate ammount)

Do you need cargo coverage?

Which states do you work/vist?

What items do you transport? (if not provided could result in failed claims)

Vehicle drivers quantity

License photo of driver #1

License photo of driver #2

License photo of driver #3

License photo of driver #4

By submitting this form, I agree to receive an SMS from Risk Financial Group LLC.

Additional questions may arise depending on the type of business.
We will need all the data requested to be able to provide an indication or quote.
By law you have to have CDL for vehicles over 26,000 lbs.
MVR AND LOSS RUNS may be requested at the discretion of Agent Luis Lapp.
Image files max size is 2Mb each.
Only PNG/JPG/JPEG image files are accepted.