Phone: 425-775-7651 Toll Free: 866-277-7651
 
Commercial Auto Quotes Insurance for Washington State

We would like to help you with your commercial auto insurance needs. We represent several commercial auto insurance companies so we can find you a competitive quote. Sean Husseman Insurance is known for making insurance easy and painless. The entire process can be done over the phone, fax, email or in person. Let us show you how easy working with us can be.

Instructions:

1. Complete the quote form below and we will email you a quote. It will only take a few minutes to complete.
2. If you would rather get a quote over the phone feel free to just fill out the contact information or call 425-775-7651, toll free 866-277-7651.
3. The information you include will only be seen by us and will not be shared with anyone else.
4. If you are not sure how much coverage you need we are here to help. Feel free to call or email us with any questions.

Name : Daytime Phone :
Contact Name : Evening Phone :
Street Address : Fax :
State : Email Address :
Zip Code : Best Time to Call :

BUISNESS INFORMATION
Is the business Incorporated? : Yes No Are the vehicles registered personally or under the business name : Personally
Under Business/ Corporation
How many vehicles does the company own? :
This is an important question. Do not request quotes on just one vehicle if you have several already insured as you will be missing out on discounts that could reduce the overall premium drastically.

INSURANCE POLICY INFORMATION
Are you currently insured? : Yes No
*If No, please give reason not insured currently. i.e.: First time insured, policy canceled 3 mo's ago, etc.
 :
If yes, by What Company? :      
Policy Expiration Date :      
Length of time
continuously insured		 :  

Driver Information
Driver Name Date of Birth Martial Status Gender # Yrs Lic'd # Tickets in 3 yrs*  
1 M F  
2 M F  
3 M F  
4 M F  
             
# Accidents in 5 yrs*
(Regardless of fault)		 Drivers License # Defensive Driving Course         
1 Yes No        
2 Yes No        
3 Yes No        
4 Yes No        
               
  Vehicle Information 
Vehicle Year (1996) Make
(Dodge) 		Make
(Ram 3500) 		Body Type (Select type):
1
2
3
4
Vehicle Radius Traveled in miles. Comprehensive Deductible: Collision Deductible: Stated_Value (required if full coverage)
1
2
3
4
 
Safety Features(check all that apply)
Vehicle 1 : 1 Air Bag 2 Air bags Anti-Lock Brakes Passive Alarm Auto Seat Belts
Vehicle 2 : 1 Air Bag 2 Air bags Anti-Lock Brakes Passive Alarm Auto Seat Belts
Vehicle 3 : 1 Air Bag 2 Air bags Anti-Lock Brakes Passive Alarm Auto Seat Belts
Vehicle 4 : 1 Air Bag 2 Air bags Anti-Lock Brakes Passive Alarm Auto Seat Belts
Liability Coverage
Liability Coverage Property Damage Uninsured Motorists Personal Injury Protection
Provide any additional information or comments:

 

 
Auto | Home | Life | Renters/Condo | Motorcycle | Boat | Business | Commercial Auto
Employee Benefits | Customer Service | Claims | About | Directions | Contact | Sitemap
Copyright © 2009 Sean Husseman Insurance All Rights Reserved. Website Design by 123Triad Web Design