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Step
1
of
4
25%
Looking for car insurance? Let's kick off the process.
Untitled
I need insurance right away
I am just browsing
My policy is due for renewal
Let’s help you find coverage for the best price.
Vehicle 1
Year
(Required)
Make
(Required)
Select a make
ACURA
ASTON MARTIN
AUDI
BENTLEY
BMW
BUICK
CADILLAC
CHEVROLET
CHRYSLER
DODGE/RAM
FERRARI
FORD
FREIGHTLINER
GMC
HONDA
HUMMER
HYUNDAI
INFINITI
JAGUAR
JEEP
KIA
LAMBORGHINI
LAND ROVER
LEXUS
LINCOLN
LOTUS
MASERATI
MAYBACH
MAZDA
MERCEDES-BENZ
MERCURY
MINI
MITSUBISHI
NISSAN
PONTIAC
PORSCHE
ROLLS ROYCE
SAAB
SATURN
SCION
SMART
SUBARU
SUZUKI
TESLA
TOYOTA
VOLKSWAGEN
VOLVO
Model
(Required)
Was the vehicle new or used when you bought it?
(Required)
New
Used
Do you lease, own, or finance the vehicle?
(Required)
Leased
Financed
Owned
Purchase / lease date
Month
January
February
March
April
May
June
July
August
September
October
November
December
Year
(Required)
Do you use winter tires?
(Required)
Yes
No
Where do you park your car overnight?
(Required)
Private garage
Private driveway
Underground parking
Parking lot
Street
Other
What is the main use of this vehicle?
Personal
Business
Daily commute – If you use your daily vehicle to go to work, how far is it (one way)?
I don’t drive to work. I work from home.
2 – 5 kms
6 – 10kms
11 – 15 kms
16 – 20 kms
20 kms and above
Yearly kilometers – What is the average kilometers do you drive this car in a year?
1,000 – 5,000 kms
6,000 – 10,000 kms
11,000 – 15,000 kms
16,000 – 20,000 kms
21,000 – 30,000 kms
31,000 kms and above
Are you adding another vehicle?
(Required)
Yes
No
Vehicle 2
Year
(Required)
Make
(Required)
ACURA
ASTON MARTIN
AUDI
BENTLEY
BMW
BUICK
CADILLAC
CHEVROLET
CHRYSLER
DODGE/RAM
FERRARI
FORD
FREIGHTLINER
GMC
HONDA
HUMMER
HYUNDAI
INFINITI
JAGUAR
JEEP
KIA
LAMBORGHINI
LAND ROVER
LEXUS
LINCOLN
LOTUS
MASERATI
MAYBACH
MAZDA
MERCEDES-BENZ
MERCURY
MINI
MITSUBISHI
NISSAN
PONTIAC
PORSCHE
ROLLS ROYCE
SAAB
SATURN
SCION
SMART
SUBARU
SUZUKI
TESLA
TOYOTA
VOLKSWAGEN
VOLVO
Model
(Required)
Was the vehicle new or used when you bought it?
(Required)
New
Used
Do you lease, own, or finance the vehicle?
(Required)
Leased
Financed
Owned
Month
January
February
March
April
May
June
July
August
September
October
November
December
Year
(Required)
Do you use winter tires?
(Required)
Yes
No
Where do you park your car overnight?
(Required)
Private garage
Private driveway
Underground parking
Parking lot
Street
Other
What is the main use of this vehicle?
Personal
Business
Daily commute – If you use your daily vehicle to go to work, how far is it (one way)?
I don’t drive to work. I work from home.
2 – 5 kms
6 – 10kms
11 – 15 kms
16 – 20 kms
20 kms and above
Yearly kilometers – What is the average kilometers do you drive this car in a year?
1,000 – 5,000 kms
6,000 – 10,000 kms
11,000 – 15,000 kms
16,000 – 20,000 kms
21,000 – 30,000 kms
31,000 kms and above
Tell us more about yourself.
Driver 1
First Name
(Required)
Last Name
(Required)
Phone
(Required)
Email
(Required)
Marital Status
(Required)
Single
Married
Third Choice
Common Law
Divorced
Widow
Gender
(Required)
(M) Male
(F) Female
(X) Gender neutral
Prefer not to say
Date of birth
(Required)
MM slash DD slash YYYY
Driver’s license number
Current license type
(Required)
G
G2
G1
When did you get your G license?
(required)
Month
(Required)
January
February
March
April
May
June
July
August
September
October
November
December
Year
(Required)
Did you get your G2 license?
(Required)
Yes
No
When did you get G2 license?
(required)
Month
(Required)
January
February
March
April
May
June
July
August
September
October
November
December
Year
(Required)
Did you get your G1 license?
(Required)
Yes
No
When did you get G1 license?
(required)
Month
(Required)
January
February
March
April
May
June
July
August
September
October
November
December
Year
(Required)
Have you been previously insured?
(Required)
Yes
No. Never listed on an insurance policy
How long have you been with your current insurance provider? (dropdown)
1 year
2 years
3 years
4 years
5 years
More than 6 years
Accident history
Have you had any accidents in the past 10 years?
Yes
No
Month
January
February
March
April
May
June
July
August
September
October
November
December
Year
Was this accident your fault?
Yes
No
Ticket History
Have you had any convictions or tickets (not including parking) in the past 3 years?
Yes
No
Reason for ticket
Blood alcohol level over limit
Careless driving
Distracted driving
Driving with no insurance
Failing to yield to pedestrian
Failure to carry insurance card
Failure to use seatbelt
Impaired driving
Improper passing of a school bus
Improper Turn
Obstructing traffic
Other major conviction (not specified)
Other minor conviction (not specified)
Prohibited use of hand-held device
Speeding (49 km/h or less)
Speeding (50 km/h or more) / racing
Stop Sign
Stunting
Traffic Light
Unsafe move
Wrong way on way
Estimated ticket date
Month
January
February
March
April
May
June
July
August
September
October
November
December
Year
Suspension History
Have you had any suspensions in the past 3 years?
Yes
No
Reason for license suspension
Administrative suspension
Alcohol related suspension
Criminal related (non-alcohol license suspension)
Non administrative suspension
Suspension due to non payment of fines
Too many convictions
License suspension date
MM slash DD slash YYYY
License reinstatement date
MM slash DD slash YYYY
Insurance History
Have you had any policy cancellations?
Yes
No
Reason
Driving without insurance
Policy cancelled due to non-payment
Policy cancelled due to license suspension
Policy cancelled due to non disclosure of information
Material misrepresentation
No vehicle hence no insurance required
Other
Month
January
February
March
April
May
June
July
August
September
October
November
December
Year
Are you adding another driver?
Yes
NO
Tell us more about yourself.
Driver2
First Name
(Required)
Last Name
(Required)
Phone
(Required)
Email
(Required)
Marital Status
(Required)
Single
Married
Third Choice
Common Law
Divorced
Widow
Gender
(Required)
(M) Male
(F) Female
(X) Gender neutral
Prefer not to say
Date of birth
(Required)
MM slash DD slash YYYY
Driver’s license number
Current license type (Required)
G
G1
G2
Did you get your G license?
(Required)
Yes
No
When did you get your G license?
Month
(Required)
January
February
March
April
May
June
July
August
September
October
November
December
Year
(Required)
Did you get your G2 license?
(Required)
Yes
No
When did you get G2 license? (required)
Month
(Required)
January
February
March
April
May
June
July
August
September
October
November
December
Year
(Required)
Did you get your G1 license?
(Required)
Yes
No
When did you get G1 license? (required)
Month
(Required)
January
February
March
April
May
June
July
August
September
October
November
December
Year
(Required)
Have you been previously insured?
(Required)
Yes
No. Never listed on an insurance policy
How long have you been with your current insurance provider? (dropdown)
(Required)
1 year
2 years
3 years
4 years
5 years
More than 6 years
How long have you been with your current insurance provider?)
Month
(Required)
January
February
March
April
May
June
July
August
September
October
November
December
Year
(Required)
Accident history
Have you had any accidents in the past 10 years?
Yes
No
Month
(Required)
January
February
March
April
May
June
July
August
September
October
November
December
Year
(Required)
Was this accident your fault?
Yes
No
Ticket History
Have you had any convictions or tickets (not including parking) in the past 3 years?
Yes
No
Reason for ticket
Blood alcohol level over limit
Careless driving
Distracted driving
Driving with no insurance
Failing to yield to pedestrian
Failure to carry insurance card
Failure to use seatbelt
Impaired driving
Improper passing of a school bus
Improper Turn
Obstructing traffic
Other major conviction (not specified)
Other minor conviction (not specified)
Prohibited use of hand-held device
Speeding (49 km/h or less)
Speeding (50 km/h or more) / racing
Stop Sign
Stunting
Traffic Light
Unsafe move
Wrong way on way
Estimated ticket date
Month
(Required)
January
February
March
April
May
June
July
August
September
October
November
December
Year
(Required)
Suspension History
Have you had any suspensions in the past 3 years?
(Required)
Yes
No
Reason for license suspension
Administrative suspension
Alcohol related suspension
Criminal related (non-alcohol license suspension)
Non administrative suspension
Suspension due to non payment of fines
Too many convictions
License suspension date
MM slash DD slash YYYY
License reinstatement date
MM slash DD slash YYYY
Insurance History
Have you had any policy cancellations?
Yes
No
Reason
Driving without insurance
Policy cancelled due to non-payment
Policy cancelled due to license suspension
Policy cancelled due to non disclosure of information
Material misrepresentation
No vehicle hence no insurance required
Other
Month
(Required)
January
February
March
April
May
June
July
August
September
October
November
December
Year
(Required)
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When do you want to start your policy?
Date
MM slash DD slash YYYY
What address are the vehicles parked at overnight?
Street Number and Street Name
City
Postal Code
Are all vehicles parked at this address overnight?
(Required)
Yes
No
Do you own or rent this location?
What address are the vehicles parked at overnight?
Do you own or rent this location?
Own
Rent
Live with parents
Other
Would you like to save on insurance by bundling your home and auto?
(Required)
Yes
No
Are you a CAA member? You could save up to 20%.
Yes
No
Would you like to install a driving app and save up to 30%?
Yes
No
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