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Commercial Trucking Quote Request

Please fill out and submit the form below for a Commercial Trucking Quote Request. If you need to request a quote for Bobtail Coverage, please visit our Bobtail Coverage Quote Request page.

Return Policy

Prior to 30 Days: Down payments will be prorated for each day.

After 30 days there will be no reimbursements.

You can bookmark our return policy here.

Commercial Trucking Insurance Quote

GENERAL INFORMATION
Type*
- NEW BUSINESS
- ESTABLISHED
BUSINESS NAME*
Contact Email*
DBA NAME
US DOT #*
TAX ID #*
MC #*
DATE REQUIRED*
MM slash DD slash YYYY
YEARS IN BUSINESS*
CURRENT AUTO POLICY CARRIERS*
MAILING ADDRESS*
Street Address City State ZIP Code
PHYSICAL ADDRESS*
Street Address City State ZIP Code
OWNERS NAME*
DOB*
MM slash DD slash YYYY
DRIVERS LICENSE #*
EMAIL*
PHONE*
FAX
COVERAGES, LIMITS, DEDUCTIBLES, ADDITIONAL COVERAGES REQUESTED (CHECK ALL THAT APPLY)
COVERAGE*
- AUTO LIABILITY
- PHYSICAL DAMAGE
- MOTOR TRUCK CARGO
- GENERAL LIABILITY
- TRAILER INTERCHANGE
- NON-OWNED PHYS
- EXCESS/UMBRELLA
- BOBTAIL coverage
LIST LIMIT & DEDUCTIBLE FOR EACH COVERAGE CHOSEN*
COVERAGE LIMIT DEDUCTIBLE
ADDITIONAL COVERAGES REQUESTED
- UM/UIM/PD-STATE MIN
- MED-$5,000
- REEFER BREAKDOWN
- HIRED/NON-OWNED
- COMBINED DEDS
- UIIA/ CONTAINERIZED FREIGHT
EST. ANNUAL MILEAGE*
EST. ANNUAL REVENUE*
ELD PROVIDER*
ELD ID*
ELD PASSWORD*
AVG. RADIUS*
MAX RADIUS*
RADIUS
- UNLIMITED RADIUS
PERCENTAGE*
0-50 MI. 50-200 MI. 200-500 MI. 500+ MI.
COMMODITIES HAULED*
COMMODITY DESCRIPTION: % HAULED AVG. LOAD $ MAX LOAD $: SHIPPER
COMMODITIES HAULED*
COMMODITY DESCRIPTION: % HAULED AVG. LOAD $ MAX LOAD $: SHIPPER
EARNED FREIGHT*
PHYSICAL DAMAGE TOWING LIMIT*
TOWING AND STORAGE*
DEBRI REMOVAL*
EST REVENUE*
EST MILEAGE*
EQUIPMENT LIST - TRACTORS*
YEAR MAKE VIN # TYPE VALUE ($) LOSS PAYEE
EQUIPMENT LIST - TRACTORS*
YEAR MAKE VIN # TYPE VALUE ($) LOSS PAYEE
EQUIPMENT LIST - TRAILERS*
YEAR MAKE VIN # TYPE VALUE ($) LOSS PAYEE
DRIVERS LIST*
NAME DRIVER LICENSE # STATE DOB DOH YRS EXP
Additional Notes / Comments
File Upload
Max. file size: 49 MB.
Download Forms
- FORM 1
- FORM 2
- FORM 3
Email
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Atlanta Office

Karen & King Insurance
5051 Peachtree Corners Cir
Suite 200
Norcross, Georgia 30092

Office Hours:
- Mon-Fri: 24/7
- Sat-Sun: 24/7

Glendale Office

Karen & King Insurance
200 West Wilson Blvd
Suite 2325
Glendale, California 91203

Office Hours:
- Mon-Fri: 9:00am-5:00pm
- Sat-Sun: Closed

Insurance

Policy Service

Disclaimer: All information, content, and materials available on this site are for general informational purposes only. This information does not, and is not intended to, constitute legal advice on any particular set of facts or circumstances, and may not constitute the most current legal developments. No user or browser of this site should act or refrain from acting based on the contents of this site without first seeking legal advice from counsel in the appropriate jurisdiction. This website may also contain links to content from third-party websites which are intended only as a convenience for the user or browser and are not necessarily recommended or endorsed by Karen & King Insurance and its affiliates. All liability with respect to actions taken or not taken based on the contents of this site are hereby expressly disclaimed. The content on this website is provided “as is” and no representations are made that the content is free of errors.

By submitting an application through this site, you acknowledge that certain personal data disclosed as part of the application process is necessary for the purposes of evaluating and issuing insurance products to you by the insurer and its affiliates and you hereby consent to the insurer and its insurance affiliates processing such information. You understand that the insurer may share the information disclosed as part of the application process for purposes of evaluating and issuing insurance products and risk management services (including to the producer listed on the application), but that the insurer will not disclose your personal information to unaffiliated advertisers or vendors. You acknowledge that you have the right to withdraw your consent to the insurer’s use of your personal data that is deemed by the insurer to be unnecessary for the purposes stated above by notifying us in writing.

Karen & King Insurance provides commercial trucking, personal auto, business, life, health, and auto insurance nationwide. Servicing: Alabama, Arkansas, Arizona, California, Colorado, Connecticut, District of Columbia, Delaware, Florida, Georgia, Hawaii, Iowa, Idaho, Illinois, Indiana, Kansas, Kentucky, Louisiana, Massachusetts, Maryland, Maine, Michigan, Minnesota, Missouri, Mississippi, Montana, North Carolina, Nebraska, New Hampshire, New Jersey, New Mexico, Nevada, New York, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Virginia, Washington, Wisconsin, West Virginia.

COVERAGE	LIMIT	DEDUCTIBLE

0-50 MI.	50-200 MI.	200-500 MI.	500+ MI.

COMMODITY DESCRIPTION:	% HAULED	AVG. LOAD $	MAX LOAD $:	SHIPPER

YEAR	MAKE	VIN #	TYPE	VALUE ($)	LOSS PAYEE