Truck Insurance Quotes - Charles String Insurance

Did anyone refer you to us?

This quote is for:*

Are you a US Military Veteran?

Yes

No

Have you had any claims in the last 3 years?*

Yes

No

Total Number of Claims?*

Business Name*

DBA Name

DOT Number

EIN / Tax ID

Don't include the dash! Format: 123456789

Insurance Renewal Date*

Business Owner's Name*

We only list one business owner on applications. If there are multiple owners, enter the one that is most involved in daily operations of the business (hopefully this is the one with the best credit score too, just FYI). Credit history is one of the biggest factors in calculating your insurance costs.

First Last

Business Owner's Date of Birth*

Phone Number*

Please make sure you can answer this number if we need to call you. ***If you decide to change your number, make sure you let us know so we can update your account.

Email*

If you change your email address or add another address later, please let us know so we can communicate with you.

Business Owner's Home Address*

This should match the address on the Owner's Driver's License.

Street Address City State ZIP Code

Is your Business Address the same as the Business Owner's Home Address?

Yes

No

Business Address*

Street Address City State ZIP Code

Is your Mailing Address the same as the Business Owner's Home Address?

Yes

No

Mailing Address*

Street Address City State ZIP Code

Do you have any Trailers you would like to add?

Yes

No

Trailer 1

VIN

Year

Make

Do you need Physical Damage on this trailer?

Yes

No

Stated Value

Add another trailer?

Yes

Trailer 2

VIN

Year

Make

Do you need Physical Damage on this trailer?

Yes

No

Stated Value

Add another trailer?

Yes

Trailer 3

VIN

Year

Make

Do you need Physical Damage on this trailer?

Yes

No

Stated Value

Add another trailer?

Yes

Trailer 4

VIN

Year

Make

Do you need Physical Damage on this trailer?

Yes

No

Stated Value

Add another trailer?

Yes

Trailer 5

VIN

Year

Make

Do you need Physical Damage on this trailer?

Yes

No

Stated Value

Add another trailer?

Yes

Trailer 6

VIN

Year

Make

Do you need Physical Damage on this trailer?

Yes

No

Stated Value

Add another trailer?

Yes

Trailer 7

VIN

Year

Make

Do you need Physical Damage on this trailer?

Yes

No

Stated Value

Add another trailer?

Yes

Trailer 8

VIN

Year

Make

Do you need Physical Damage on this trailer?

Yes

No

Stated Value

Add another trailer?

Yes

Trailer 9

VIN

Year

Make

Do you need Physical Damage on this trailer?

Yes

No

Stated Value

Add another trailer?

Yes

Trailer 10

VIN

Year

Make

Do you need Physical Damage on this trailer?

Yes

No

Stated Value

Add another trailer?

Yes

Trailer 11

VIN

Year

Make

Do you need Physical Damage on this trailer?

Yes

No

Stated Value

Add another trailer?

Yes

Trailer 12

VIN

Year

Make

Do you need Physical Damage on this trailer?

Yes

No

Stated Value

Add another trailer?

Yes

Trailer 13

VIN

Year

Make

Do you need Physical Damage on this trailer?

Yes

No

Stated Value

Add another trailer?

Yes

Trailer 14

VIN

Year

Make

Do you need Physical Damage on this trailer?

Yes

No

Stated Value

Add another trailer?

Yes

Trailer 15

VIN

Year

Make

Do you need Physical Damage on this trailer?

Yes

No

Stated Value

Add another trailer?

Yes

Trailer 16

VIN

Year

Make

Do you need Physical Damage on this trailer?

Yes

No

Stated Value

Add another trailer?

Yes

Trailer 17

VIN

Year

Make

Do you need Physical Damage on this trailer?

Yes

No

Stated Value

Add another trailer?

Yes

Trailer 18

VIN

Year

Make

Do you need Physical Damage on this trailer?

Yes

No

Stated Value

Add another trailer?

Yes

Trailer 19

VIN

Year

Make

Do you need Physical Damage on this trailer?

Yes

No

Stated Value

Add another trailer?

Yes

Trailer 20

VIN

Year

Make

Do you need Physical Damage on this trailer?

Yes

No

Stated Value

Is the Business Owner a Driver?*

Yes

No

Business Owner is:*

Married

Single

Driver's License Number*

License State*

Does the Business Owner have a CDL?*

Yes

No

CDL Issue Date*

Do not use the permit date...sorry, that doesn't count.

Has the business owner completed an Accident Prevention Course in the past 3 years?*

Yes

No

Date you completed the course?*

Add a driver?

Yes

Driver 1

Name

First Last

Date of Birth

Marital Status*

Married

Single

License Number*

License State*

Hire Date

Does the driver have a CDL?*

Yes

No

CDL Issue Date

Do not use the permit date.

Add another driver?

Yes

Driver 2

Name

First Last

Date of Birth

Marital Status*

Married

Single

License Number*

License State*

Hire Date

Does the driver have a CDL?*

Yes

No

CDL Issue Date

Do not use the permit date.

Add another driver?

Yes

Driver 3

Name

First Last

Date of Birth

Marital Status*

Married

Single

License Number*

License State*

Hire Date

Does the driver have a CDL?*

Yes

No

CDL Issue Date

Do not use the permit date.

Add another driver?

Yes

Driver 4

Name

First Last

Date of Birth

Marital Status*

Married

Single

License Number*

License State*

Hire Date

Does the driver have a CDL?*

Yes

No

CDL Issue Date

Do not use the permit date.

Add another driver?

Yes

Driver 5

Name

First Last

Date of Birth

Marital Status*

Married

Single

License Number*

License State*

Hire Date

Does the driver have a CDL?*

Yes

No

CDL Issue Date

Do not use the permit date.

Add another driver?

Yes

Driver 6

Name

First Last

Date of Birth

Marital Status*

Married

Single

License Number*

License State*

Hire Date

Does the driver have a CDL?*

Yes

No

CDL Issue Date

Do not use the permit date.

Add another driver?

Yes

Driver 7

Name

First Last

Date of Birth

Marital Status*

Married

Single

License Number*

License State*

Hire Date

Does the driver have a CDL?*

Yes

No

CDL Issue Date

Do not use the permit date.

Add another driver?

Yes

Driver 8

Name

First Last

Date of Birth

Marital Status*

Married

Single

License Number*

License State*

Hire Date

Does the driver have a CDL?*

Yes

No

CDL Issue Date

Do not use the permit date.

Add another driver?

Yes

Driver 9

Name

First Last

Date of Birth

Marital Status*

Married

Single

License Number*

License State*

Hire Date

Does the driver have a CDL?*

Yes

No

CDL Issue Date

Do not use the permit date.

Add another driver?

Yes

Driver 10

Name

First Last

Date of Birth

Marital Status*

Married

Single

License Number*

License State*

Hire Date

Does the driver have a CDL?*

Yes

No

CDL Issue Date

Do not use the permit date.

Add another driver?

Yes

Driver 11

Name

First Last

Date of Birth

Marital Status*

Married

Single

License Number*

License State*

Hire Date

Does the driver have a CDL?*

Yes

No

CDL Issue Date

Do not use the permit date.

Add another driver?

Yes

Driver 12

Name

First Last

Date of Birth

Marital Status*

Married

Single

License Number*

License State*

Hire Date

Does the driver have a CDL?*

Yes

No

CDL Issue Date

Do not use the permit date.

Add another driver?

Yes

Driver 13

Name

First Last

Date of Birth

Marital Status*

Married

Single

License Number*

License State*

Hire Date

Does the driver have a CDL?*

Yes

No

CDL Issue Date

Do not use the permit date.

Add another driver?

Yes

Driver 14

Name

First Last

Date of Birth

Marital Status*

Married

Single

License Number*

License State*

Hire Date

Does the driver have a CDL?*

Yes

No

CDL Issue Date

Do not use the permit date.

Add another driver?

Yes

Driver 15

Name

First Last

Date of Birth

Marital Status*

Married

Single

License Number*

License State*

Hire Date

Does the driver have a CDL?*

Yes

No

CDL Issue Date

Do not use the permit date.

Add another driver?

Yes

Driver 16

Name

First Last

Date of Birth

Marital Status*

Married

Single

License Number*

License State*

Hire Date

Does the driver have a CDL?*

Yes

No

CDL Issue Date

Do not use the permit date.

Add another driver?

Yes

Driver 17

Name

First Last

Date of Birth

Marital Status*

Married

Single

License Number*

License State*

Hire Date

Does the driver have a CDL?*

Yes

No

CDL Issue Date

Do not use the permit date.

Add another driver?

Yes

Driver 18

Name

First Last

Date of Birth

Marital Status*

Married

Single

License Number*

License State*

Hire Date

Does the driver have a CDL?*

Yes

No

CDL Issue Date

Do not use the permit date.

Add another driver?

Yes

Driver 19

Name

First Last

Date of Birth

Marital Status*

Married

Single

License Number*

License State*

Hire Date

Does the driver have a CDL?*

Yes

No

CDL Issue Date

Do not use the permit date.

Add another driver?

Yes

Driver 20

Name

First Last

Date of Birth

Marital Status*

Married

Single

License Number*

License State*

Hire Date

Does the driver have a CDL?*

Yes

No

CDL Issue Date

Do not use the permit date.

Discounts

Do you currently have personal auto insurance?*

This is a HUGE discount so do not skip this if you have personal auto insurance!!!

Yes

No

We will need a copy of your current insurance ID card or Declarations Page, would you like to upload that now?*

You can do this later. We just need it prior to binding your policy.

Yes

No

Upload current Insurance ID card or Declarations Page or COI*

Max. file size: 10 MB.

Do you have any other insurance policies for the business?*

General Liability

Business Owner's Policy

None

What year did you incorporate your business?

ELD Provider*

If you haven't chosen an ELD provider yet, I highly recommend Motive (Formerly Keep Truckin). Unless you select "N/A" you consent to providing your ELD data to the insurance company. Drive smart, save money!

ELD Provider*

You may receive a follow up email to approve data sharing from your ELD provider. If you do not consent to share your ELD data, you cannot get this discount. The discount is calculated based on your ELD data. Drive smart, save money!

Loss Runs / Claim Report

Please upload any loss run reports you have.

Drop files here or

Max. file size: 10 MB.

Trucking Quotes

Trucking Insurance Quote Form

We can help you with trucking insurance in every state.

Every time you get a new rental vehicle, you must email your agent the VIN so that it can be updated on the policy.

Vehicle 1

Vehicle 2

Vehicle 3

Vehicle 4

Vehicle 5

Vehicle 6

Vehicle 7

Vehicle 8

Vehicle 9

Vehicle 10

Vehicle 11

Vehicle 12

Vehicle 13

Vehicle 14

Vehicle 15

Vehicle 16

Vehicle 17

Vehicle 18

Vehicle 19

Vehicle 20

Trailer 1

Trailer 2

Trailer 3

Trailer 4

Trailer 5

Trailer 6

Trailer 7

Trailer 8

Trailer 9

Trailer 10

Trailer 11

Trailer 12

Trailer 13

Trailer 14

Trailer 15

Trailer 16

Trailer 17

Trailer 18

Trailer 19

Trailer 20

Driver 1

Driver 2

Driver 3

Driver 4

Driver 5

Driver 6

Driver 7

Driver 8

Driver 9

Driver 10

Driver 11

Driver 12

Driver 13

Driver 14

Driver 15

Driver 16

Driver 17

Driver 18

Driver 19

Driver 20

Discounts

Coverages