Tow truck insurance application

One short section at a time. Your answers save on this phone as you go, so you can stop and pick up later.

Takes about 5 minutes.
Only your name, phone and business name are required (marked *). Fill in what you have handy and skip the rest.
Have a vehicle list, driver list or loss runs? Snap a photo of it instead of typing.

Your business

As it appears on your DOT registration or tax paperwork.

Legal business name Please add your business name. DBA (if different) Business address State the trucks are based in

DOT # MC #

Date established FEIN

Contact & owner

Who should Ryan reach with your pricing?

Your name Please add your name. Phone Please add a 10-digit phone number. EmailPlease check your email, like [email protected].

Owner

I'm the owner

Owner's name

Date of birth Years in towing

Driver's license # DL state

Home address

Coverage

Pick what you carry now or what you need. Not sure? Leave it and Ryan will go over it with you.

Auto liability limit Other auto liability amount

On-hook limit

$100,000 Other

Other on-hook amount

Garage keepers limit (storage)

General liability?

YesNo

Additional coverage needed? (check any)

Wrongful repossession Drive-away coverage Workers' compensation

We'll send a supplemental application for any coverage checked.

Filings & dates

When should the new coverage start? Current renewal date Current premium (exact amount)

From your policy or latest bill, so Ryan can compare quotes side by side.

Operations

Rough percentages are fine.

How far do your tows go? (% of tows, miles)

0-50

51-100

101-200

201-300

301-500

501+

What do you tow? (check all) Type of work (% of work)

Voluntary repo

Involuntary repo

Consent tow

Non-consent tow

Parking enforcement

Your fleet

GPS in trucks?

YesNo

Cameras in trucks?

YesNo

# of vehicles

Next year (planned) Current 1 yr prior 2 yrs prior 3 yrs prior 4 yrs prior

Annual miles per truck Revenue per truck

Days & hours open Company contracts (if any)

Vehicles

Snap a photo or upload your list

A vehicle list, registrations or your current dec page all work: year, make, model, VIN and value.

or type them in

Drivers

Snap a photo or upload your list

A driver list or photos of licenses: name, license # and state, date of birth, hire date.

or type them in

Loss runs

Send your last 5 years of currently valued loss runs for our most competitive pricing. Don't have them handy? Send them later, or Ryan can request them for you. New venture? No loss runs needed.

Snap a photo or upload your loss runs

PDFs or photos of each page.

Your loss runs (pick one)

Loss runs attached here I'll email them to [email protected] Please help me request them New venture: no loss runs needed

Picked "Please help me request them"? Ryan's team sends a quick signature link, and the insurance company and policy # for each year on the next step is all he needs.

Anything else? (optional)

Current dec page, contracts or other paperwork.

Prior insurance

Last 5 years, current first. Tap None for any year without coverage. New venture, or don't have it handy? Skip ahead.

Notes

Anything Ryan should know: claims, a tight deadline, best time to call.

Notes

Review & submit

Check it over, then send it to Ryan.

By submitting, you agree to our Privacy Policy.

Thanks!

Ryan has your application.

Pricing from the first 2 insurance companies usually within 24 hours.

Questions in the meantime? Call 847-393-0234 or email [email protected].