Call Us 863-763-7711 ☰ ˟
Logo
Call Us Today 863-763-7711
  • Home
  • Get A Quote
    • Annuities
    • Apartment Owners
    • Automobile
    • Bonds
    • Business & CommercialImage of right arrow
      • Secure Business and General Liability Insurance Quote
      • Secure Business Insurance /BOP Quote
      • Secure Jewelers Insurance Quote
    • Church
    • Commercial Auto
    • Commercial Property
    • Condominium
    • ConstructionImage of right arrow
      • Secure Builder's Risk/Course of Construction
      • Secure Wood Worker's Insurance Quote
    • Contractors
    • D & O Insurance
    • Disability Insurance
    • FarmImage of right arrow
      • Secure Agricultural Transportation Insurance Quote
      • Secure Equine Insurance Quote
      • Secure Farm and Ranch Insurance Quote
    • Flood
    • Group Health
    • Health
    • Homeowners
    • Hotel
    • Jewelry Insurance
    • Life
    • Limousine
    • Long-Term Care Insurance
    • Medicare
    • Motorcycle
    • Non Profit Insurance
    • Oil & Gas
    • Recreational Vehicle
    • Rental Property Insurance
    • Restaurant
    • Trucking
    • Umbrella
    • Watercraft & Boat
    • Workers Compensation
  • Customer Service
    • AutomobileImage of right arrow
      • Add a Vehicle Form
      • Request ID Card
      • Secure Add Driver Request Form
      • Secure Remove Driver Request Form
      • Secure Remove Vehicle Request Form
    • Homeowners
    • InsuranceImage of right arrow
      • Certificate of Insurance Request
      • Policy Change Request
  • Claims
  • Blog
  • Make A Payment
  • Resources
    • Secure Area
    • Refer a Friend
    • Important Links
    • Important Files
    • Free Reports
    • Insurance Glossary
    • Frequently Asked Questions
  • About Us
    • About Pritchards and Associates
    • Our Locations
    • Employee Directory
    • Testimonials
    • Privacy Policy
  • Contact
    • Join Our Newsletter
    • Contact Us
Home > Trucking > Secure Trucking Insurance Quote
Secured by SSL

Secure Trucking Insurance Quote


Fill out the following form as completely as possible. Once you have completed the form, click the Submit button to send your information. Your request will be handled promptly.

  • Business Information
  • Operations
  • Revenge/Mileage
  • Policy Information
Business Name
Business Address
City *
State *
ZIP / Postal Code *
Primary Phone Number *
Fax Number
First Name *
Last Name *
E-Mail Address *
Owner/President
Safety Manager
Number of Full Time Employees
Number of Part Time Employees
Estimated Monthly Payroll
Number of Locations
Years in Business
Operations
FHWA Docket Number
US DOT Number
Brokerage Name
Docket Number
Brokerage/FF Revenue (this year)
Estimate for Next Year
Current DOT Rating & Date
Operation Areas
Major Metro Areas
Major Shippers
% of Operations 0-75 Miles
% of Operations 76-100 Miles
% of Operations 101-300 Miles
% of Operations 301-500 Miles
% of Operations 501-1000 Miles
% of Regular Routes
Commodities Hauled
Number of Different Commodities Hauled
Last Year Revenue/Mileage History
Estimated Mileage
Estimated Revenue
Number of Units
This Year Revenue/Mileage Estimates
Estimated Mileage
Estimated Revenue
Number of Units
Next Year Revenue/Mileage Estimates
Estimated Mileage
Estimated Revenue
Number of Units
Equipment Info.
Number of Owned Tractors
Number of Owned Trailers
Owned Service Units
Number of O/O Tractors
Number of O/O Trailers
O/O Service Units
Policy Information
PIP/Medical
Liability Limit
UM/UIM
PIP/Medical
General Laiablity
Cargo Limit
Comp. Deductible
Collison Deductible
Tractor Values
Trailer Values
Hire Auto Required?
Has your insurance been cancelled or non-renewed in the past 5 years?
Additional Information
Agent Name (Optional)
How Did You Hear About Us ?
Preferred Contact Method
Additional Comments
Acknowledge "Important Notice" below was read *
Submission Validation
Required

Important Notice
Any submissions or payments made via this website do not constitute a binding agreement to your policy or coverages. Changes and payments to policies are not effective or binding until you, or any party involved, receive official notice from either your insurance agent, or your insurance company. If you have any questions, please feel free to contact us.

Per the terms of our online privacy policy we will not resell your information to any third-party.
Secured by SSL
Insurance Websites Designed and Hosted by Insurance Website Builder
Logo

1802 S Parrot Ave
Okeechobee, FL 34974
P: 863-763-7711
F: 863-763-5629

Facebook Icon Twitter Icon
© Copyright. All rights reserved | Powered by Insurance Website Builder