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Auto Quote

Before we go any further, would you say that all of the following statements are true?

My insurance has never been cancelled, declined or refused by another insurer in the last 5 years.
There's currently no unrepaired damage on my vehicle.
My vehicle has never been modified or customized, it’s pretty much factory condition.
I am never compensated by any passengers - all rides are free.
I don't use my vehicle to carry explosives or radioactive material (yep that’s a question)
I haven't had a suspended or cancelled driver's license in the last 6 years - and neither has anyone in my household who operates my vehicle(s).
Were you originally licenced in Canada or the USA?

IF ANY OF THE ABOVE ARE NOT TRUE, Contact one of our specialists today. 1 800 263 6484

Personal Information

FIRST NAME *

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LAST NAME *

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POSTAL CODE *

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EMAIL ADDRESS *

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EFFECTIVE DATE *

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REGION *

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Other

PHONE NUMBER

INVALID VALUE.

Vehicle Information

Do you own more than one vehicle? Don't worry we will take
care of those too

YesNo

Year

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Make

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Model

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Distance to Work, School or Transit (one-way)

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Annual km

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What do you use your vehicle for?

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CommutingPleasure

Do you currently own, lease or finance this vehicle?

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Owned Leased Financed

Did you bite the bullet and buy winter tires?

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YesNo

Driver Information

DRIVER FIRST NAME *

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DRIVER LAST NAME *

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DATE OF BIRTH *

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Gender

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MARITAL STATUS *

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DRIVER'S LICENSE *

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Other

DATE FIRST LICENSED

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YEARS INSURED

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HOW OLD WERE YOU WHEN YOU GOT YOUR G LICENSE IN CANADA OR USA?

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Report Card

HAVE YOU HAD ANY CONVICTIONS IN THE PAST 3 YEARS?

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Have you had any accidents or made a claim in the past 10 years?

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