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Full Insurance Questionnaire For
Commercial Auto
Business Name
Email
Phone
Legal Entity
Year Business Started
Describe operations
Any claims/losses in the last 5 years
Annual revenue for the business
Current insurance carrier
Current Insurance Liability Limits
Total number of Full-Time W2 employees
Total number of Part-Time W2 employees
Total number of 1099 contractors
Vehicle 1 Year
Vehicle 1 VIN Number
Vehicle 2 Year
Vehicle 2 VIN Number
Vehicle 3 Year
Vehicle 3 VIN Number
Vehicle 4 Year
Vehicle 4 VIN Number
Vehicle 5 Year
Vehicle 5 VIN Number
Vehicle 6 Year
Vehicle 6 VIN Number
Vehicle 7 Year
Vehicle 7 VIN Number
Vehicle 8 Year
Vehicle 8 VIN Number
Vehicle 9 Year
Vehicle 9 VIN Number
Vehicle 10 Year
Vehicle 10 VIN Number
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