Policaro Group

Auto insurance

Auto insurance

Ways to Save on your Auto Premium

• Keep up your good driving record
• Drive less to qualify for a discount
• Drive a car with safety features such as anti-lock brakes and airbags
• Consider raising your deductible
• Install an anti-theft device
• Ask about our multi-policy discounts

Auto Insurance Quote Form



    Driver Information
    Driver 1

    Sex:
    D.O.B.
    Driver Training:
    Dates Licensed: G: G2: G1:

    Driver 2

    Sex:
    D.O.B.:
    Driver Training:
    Dates Licensed: G: G2: G1:

    Driver 3

    Sex:
    D.O.B.:
    Driver Training:
    Dates Licensed: G: G2: G1:

    Are there any other drivers living in the same household: (If yes, explain in Notes below)

    Vehicle Information
    Vehicle 1


    Use of Vehicle:
    Purchase Date: Ownership:

    Winter Tires installed November to April?:

    Vehicle 2


    Use of Vehicle:
    Purchase Date: Ownership:

    Winter Tires installed November to April?:

    Vehcile 3


    Use of Vehicle:
    Purchase Date: Ownership:

    Winter Tires installed November to April?:

    Is any vehicle used for Ridesharing (such as Uber or Uber Eats) (If Yes please explain in Notes below)

    Driving History

    Present insurer:
    Expiry date: How many years insured?
    Years continuously insured in Canada?
    Years insured with present insurer?
    Has your auto insurance ever been cancelled or refused (ie. for non-payment or underwriting reasons)?
    For discount purposes - do you also have property insurance? With which insurance company?
    Have you or any listed driver been in an AT FAULT accident in the past 10 years?
    Have you or any listed driver been in a NOT AT FAULT accident in the past 10 years?
    Have you or any listed driver had any driving convictions (speeding,seatbelt,etc.) in the past 3 years?
    Have you or any listed driver had any licence suspensions in the past 6 years?

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