Get a Quote – Auto

Auto Insurance Quote Request

Get a Quote - Auto
Have you had any cancellations, accidents, tickets, or gaps in insurance in the last 6 years? *
Address *
Postal Code
Do you own a home or rent? *

As your broker, I am gathering this consent on behalf of the insurer who advises me that: in respect of this quotation/application, any policy we issue and subsequent renewals or changes, we may collect, use, and disclose personal information reports including policy history, claims history, investigative information, rating information, risk information and only with respect to you, your personal credit information including credit score, as permitted by law and in accordance with our privacy policies.

Do you, and on behalf of others listed, authorize use to collect, use, and disclose to appropriate third parties, including your broker, this information solely relating to your personal property policy for the purposes necessary to assess the risk, determine a premium, determine eligibility and conditions for a premium payment plan, investigate and settile claims, analyze business results and detect and prevent fraud?

Do you agree with the following consent statement? *

Vehicle Information


How did you purchase your vehicle? *
Is the vehicle leased or financed? *
Liability *
Loss / Damage *

Distance Driven

Business Use *
Do You Use Winter Tires From November To April? *
Is The Car Parked In A Private Driveway? *

Click 'Add' if you like to add another vehicle.


Sex *
Do You Have A CAA Membership? *

Click 'Add' if you like to add another driver.

Additional Information

Are you interested in any of the following insurance products? *

Please contact our office to speak with a representative at 1-866-466-9660