• Commercial Auto Questionnaire

    • Copies of your vehicle registrations will eventually be needed
    • Over five vehicles on the policy we will need loss runs.
    • All vehicles will be rated on Symbol 7 (only autos and trailers listed on policy have coverage)
    • If you need another symbol please advise and we can review with our underwriting team
    • Please provide a copy of your current policy that shows your limits if available.
  • Vehicle registration info and copy of current policy can be securely uploaded at:

    https://responsiveinsurance.com/request-a-proposal/

    If you don’t have this information currently, that’s ok. Complete the questions below and submit this information to get started.

  • If the business is a corporation or LLC, all vehicles must be tilted to the company name. If they aren't, please stop completing the form and notify us so we can explore alternative options with a different company.

  • General Questions:

    How are the vehicles used:
  • Coverages

  • I have answered the above indicated questions to the best of my knowledge.

  • Should be Empty: