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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
EFFECTIVE DATE*
MM slash DD slash YYYY
YEARS IN BUSINESS*
MAILING ADDRESS*
Street Address City State ZIP Code
PHYSICAL ADDRESS*
Street Address City State ZIP Code
CONTACT NAME*
DOB*
MM slash DD slash YYYY
YEARS EXP*
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
EST. ANNUAL MILEAGE*
EST. ANNUAL REVENUE*
ELD PROVIDER*
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

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
Name
This field is for validation purposes and should be left unchanged.

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

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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.