Start Your Quote Tell us About your Ride * CHOOSE ONE ATV (includes amphibious) Boat Can-Am Spyder Dune Buggy Electric Vehicle that is NOT an LSV Golf Cart LSV - Low Speed Vehicle / NEV - Neighborhood Electric Vehicle Motorcycle Oreion Motors Reeper or Hummer Polaris Slingshot Scooter Segway Snowmobile Trike (2 wheel in back) UTV / Side by Side Is your vehicle Street Legal or Offroad? * CHOOSE ONE Street Legal - it has a license plate Off Road - it does not have a license plate Off Road converted to Street Legal - it has a license plate Name *
First Last Email * Address where you keep your Motorcycle / ATV / UTV / Side By Side / Trike * Do you have a separate mailing address? Mailing Address - enter only your mailing address here When is your birthday? *
Date Format: MM slash DD slash YYYY Phone * Marital Status CHOOSE ONE Single Married Widowed Divorced Separated What is your profession? ** Discount
Many professions can earn discounts. Tell us what you do and we will work to find you a discount.
How many years of motorcycle or ATV/UTV experience do you have? What is your highest level of Education ** DISCOUNT CHOOSE ONE Junior High School High school - not completed High School Graduate Associate Degree Bachelor's Degree Graduate of Professional Degree Some College Law Degree Medical Doctor Engineering Degree PhD or other Doctorat Other Prefer Not to Answer What is your spouse's name and birthdate?
If you are married, we need to INCLUDE or EXCLUDE your spouse on the quote. This means that his or her name must be listed on the policy. This does not mean that it affects the price, but it is a requirement from most companies to list the spouse.
Driving Record Are you able to tell us what tickets or accidents you have in the last 3 years? If you know the type of ticket and/or the date, it helps us to get a more accurate quote. Do you have a DUI? CHOOSE ONE No Yes - within the last 3 years Yes - within the last 5 years Yes - within the last 10 years Do you have insurance now on this vehicle / watercraft? **** DISCOUNT CHOOSE ONE Yes - it is active or in-force now No - it lapsed 1-14 days ago No - it lapsed 15-29 days ago No - it lapsed more than 30 days ago About Your Motorcycle / LSV / Golf Cart / ATV / UTV / Side By Side / Trike / Watercraft / Dune Buggy Year * Make * Model *
Tell us as much as you can. Example: Artic Cat M8 LTD edition
CCs (if you know the answer) VIN (not required, but very helpful to get a quote)
If you know your 17 digit VIN for a car (or other ID number for a golf cart/LSV), it helps us get an accurate quote. If you do not provide the VIN, then the quote is even more of an estimate.
What kind of vehicle do you have? CHOOSE ONE Can Am Spyder Dune Buggy / Rail - Street Legal (has license plates) Dune Buggy /Rail - Off Road (NO license plates) Motorcycle or Scooter - street legal Motorcycle or Scooter - off road Trike-Style (2 wheels in the front) Trike (2 wheels in the back) UTV or Side by Side ATV ATV - Amphibious Golf Cart - street legal Golf Cart - off road, private roads, marina, gated community Low Speed Vehicle - LSV Neighborhood Electric Vehicle - NEV Custom Vehicle (other than buggy) Is it street legal? * CHOOSE ONE No - offroad only Yes - it's registered and has a license plate Yes - but I only use it on private roads/marina - no plates To obtain a street legal dune buggy or sand rail quote, we need to quote at least one (or all) of the other vehicles registered in your household. We do not quote stand-alone street legal buggies as of September 1, 2016. Please provide the year, make, and model of your other vehicles in the box below. *
If you only provide the details of your street legal dune buggy, then we will not be able to send you a quote.
Discounts - Check all that Apply Do you need to add any other riders? Remember, you must disclose all people of driving age in your household. Please tell us the NAME, Birthdate, and relationship to you of others riders that you are adding. Do you need to add another Motorcycle / ATV / UTV / Side By Side / Trike / Dune Buggy? Tell us the Year/Make/Model of your other Motorcycle / ATV / UTV / Side By Side / Trike
If you have the VIN, please tell us here. If you are adding a second rider, please include a name and birthdate.
Do you want to send us a picture of your ride? You can include it here. Do you authorize us to send you a text (SMS) about your quote or policy, if you purchase one? Watercraft Section Are you the original owner of the watercraft? * Yes No Year * Make * Model * Top Speed * Engine Size in total number of CCs * How many years of watercraft experience do you have? * Do you know the VIN or Hull ID?
The HIN consists of twelve characters, uninterrupted by slashes, hyphens, or spaces. HIN's are typically found on the boat registration and are embossed on the stern right quarter of the boat.
What is the hull material * Fiberglass Aluminum Inflatable Roplene Carbon fiber Rotomolded Ferro cement Steel Wood Engine Type * Outboard Inboard/Outboard (Stern Drive) Inboard Jet Carbon fiber Sailboat Powered Sailboat Non-Powered Does the Boat/PWC have an exposed engine? * No Yes Third Choice
A watercraft equipped with an engine that is not contained within an original equipment manufacturer designed cover and/or insulation.
Would you like to insure your trailer? If so, please provide the market value of the trailer. Storage/Mooring ZIP code * Does the watercraft have multiple owners? * No Yes Third Choice
Multiple owners that do not live in the same household. More than two owners is not acceptable.
Where is Boat/PWC kept during boating season? * At my home - outside but on my property At my home - in a garage Away from home in a storage building Away from home in outdoors Away from home on a lift Away from home in the water OTHER - please explain in the comments box below Total Horsepower (of all engines) Engine/outdrive modified to enhance performance
Answer 'yes' if the watercraft has any engine or outdrive components installed to enhance performance beyond hull and/or engine manufacturer stock configurations (i.e. blowers, performance outdrives, performance props, surface drive/mud motors, superchargers, etc.).
Comments and Notes
Provide additional information here
FLORIDA SECTION Is your vehicle registered in Florida? * CHOOSE ONE YES NO Do you have ANY other cars or Low Speed Vehicles registered in Florida at the same address? * CHOOSE ONE YES NO If you keep you have your vehicle registered in Florida and you have ANY other cars registered in Florida, the insurance carrier requires that you write all vehicles registered at your household in Florida with them. We will quote your other vehicles too. Please provide either the VIN or the year/make/model of your other vehicles. *