Texas Truck Fleet Quote Request

Business and contact

For trucking businesses with more than two drivers or powered trucks. For one or two of each, you may use our owner-operator form.

Your full name *

Your role / title *

Legal business name *

DBA / trade name (optional)

Email address *

Phone number *

Preferred contact *

Business address *

City *

ZIP code *

Business state *

Years in business *

Operating arrangement *

Motor carrier name *

USDOT number, if assigned (optional)

MC / authority number, if assigned (optional)

TxDMV number, if assigned (optional)

Fleet size and operation

Estimates are welcome where exact annual figures are not available.

Total number of drivers *

Total powered trucks *

Total trailers *

Truck and trailer types *

Principal garaging address and any other terminals *

Describe the work and main commodities hauled *

Usual operating radius *

States operated in / regular routes *

Estimated total annual fleet miles (optional)

Estimated annual gross revenue ($) (optional)

Highest typical load value ($) (optional)

Hazardous materials, household goods, oversize loads, or cross-border operations? *

Describe special cargo or operations *

Do you use team drivers? *

Do you use leased owner-operators? *

Expected changes in drivers, vehicles, routes, or cargo (optional)

Insurance and loss history

We may request currently valued loss runs for the period required by the insurer.

Currently insured? *

Current insurer (optional)

Current renewal date (optional)

Current annual premium ($) (optional)

Any claims in the last five years, or since business began? *

Summarize losses, approximate dates, amounts, and corrective actions *

Any cancellation, nonrenewal, or coverage lapse in the last three years? *

Describe the cancellation, nonrenewal, or lapse *

When is coverage needed? *

Requested effective date (optional)

Safety and supporting schedules

After receiving this request, we will contact you to arrange the driver and equipment schedules and supporting documents. A complete driver schedule generally includes name, DOB, license number/state, hire date, and experience; an equipment schedule includes VIN, year, make/model, value, and use. Please do not paste license numbers, DOBs, or VIN lists in these notes. This form does not upload documents.

Written driver hiring / screening procedures? *

Do you review motor vehicle records? *

Documented vehicle inspection / maintenance program? *

Dash cameras or telematics in use? *

Safety program, driver experience requirements, or issues to explain (optional)

Driver schedule availability *

Vehicle / trailer schedule availability *

Currently valued loss runs availability *

Current declarations, IFTA reports where applicable, and contracts *

Additional information (optional)

Are you authorized to submit this business quote request? *

Review your request

Review your answers before submitting. Use Edit to make a correction.

Submitting requests a quote. Coverage is not bound or changed. Do not include Social Security numbers, payment details, or license photographs.

Truck Fleet Quote Request

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