Auto insurance quote

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Applicant Information

Salutation *

First Name *

Middle Name

Last Name *

Email Address *

Mobile Number *

Date of Birth *

Additional Details

Province / Territory *

City *

Street address *

Postal Code *

Attachments *

Upload your driver's license (required). Provide vehicle registration or bill of sale to confirm ownership.

Driver's License *

Vehicle Registration

Bill of Sale

Vehicle Usage

How is this vehicle primarily used? *

Annual Kilometers *

Vehicle Information

You can upload ownership documents (registration or bill of sale) instead of typing all vehicle details. If you upload ownership, entering the VIN manually is optional.

Other vehicles to include on this quote

Additional drivers

If you recently purchased the vehicle, these details help the broker provide a more accurate quote.

Purchase Date

Approximate Price ($)

Kilometers at Purchase

License History

Ontario graduated licensing dates help determine your driving experience and may affect your premium.

Ownership & Coverage

Ownership Type *

Coverage *

Issue date

Mandatory Ontario Coverages (Auto-Included)

The following coverages are required by Ontario law and are automatically included in every auto policy. You do not need to select them.

Third-Party Liability

Minimum $200,000. Covers claims if you injure someone or damage their property.

Statutory Accident Benefits (SABS)

Medical, rehabilitation, attendant care, and income replacement benefits regardless of fault.

Uninsured Automobile

Covers you if injured by a hit-and-run or uninsured driver.

Direct Compensation – Property Damage (DCPD)

Your insurer pays for damage to your vehicle when another driver is at fault.

Disclosure

I understand this application does not bind insurance coverage, and that a licensed broker will contact me to finalize details and pricing.

Auto Insurance Quote

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