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Extra Mile – CL Auto

Business Information

Vehicle Information

List all vehicles
Year
Make
Model
VIN
 
Is this vehicle used for business, personal or both?(Required)
Anti-Lock Brakes:(Required)
Daytime Running Lamps:(Required)
Passive Restraints:(Required)
Do you need comprehensive and collision coverage to protect this vehicle in an accident?(Required)

Driver Information

List all drivers
Name
Driver's License
Date of Birth
 

Business Organization

Business Structure:(Required)

Current Business Insurance

Do you have auto insurance today?(Required)
For the past year or more have you had a continuous commercial or personal auto insurance policy?(Required)
Information Disclosure(Required)
To offer you an accurate quote, we will use information from you and other sources, such as your driving, claims, and credit histories. By seeking a quote, you will be consenting to this collection and use of information even if it is protected by a security freeze. Please review our Privacy Policy and information about our use of consumer reports.

I have reviewed these disclosures and the Privacy Policy.

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