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Brokers

Motorhome Insurance

Quote Request Form

Name(Required)
MM slash DD slash YYYY
Address(Required)

Motorhome Information

Is the Motorhome Registered in Ontario?(Required)
Type of Motorhome(Required)

Qualification Questions

Is the applicant the original owner of the Motorhome?(Required)
Was the Motorhome purchased new or used (demo is considered used)?(Required)
Will the Motorhome be rented or leased to others?(Required)
Is the Motorhome used as permanent residence?(Required)
Is there any existing or unrepaired damage on the Motorhome?(Required)
Is the Motorhome modified or customized in any way?(Required)
Is the Motorhome registered in the name of a company, corporation, estate or held in trust?(Required)
Is the Motorhome equipped with both cooking facilities and a washroom?(Required)
Is the Motorhome used for any other business or commercial purposes other than leasing or renting to others?(Required)
Is the Motorhome used for a purpose other than for which it was designed for (i.e. School bus conversion)?(Required)
Does any listed driver have 3 or more minor convictions in the last 3 years?(Required)
Has the applicant or any listed driver had any major, serious or criminal code convictions in the past 3 years?(Required)
Does any listed driver have any accidents or claims in the last 6 years?(Required)
Are all drivers of the Motorhome licensed at least 8 years in Canada or the United States?(Required)
Has any insurance company cancelled automobile insurance for the applicant or any listed driver in the last 3 years?(Required)
Has there been any license suspensions for any listed driver(s) in the last 6 years?(Required)
Is the Motorhome equipped with an anti-theft device?(Required)
Is the Motorhome equipped with a Monitored Satellite Tracking System?(Required)
If the Motorhome is more than 15 years old, do you have a recent safety certificate and propane inspection?(Required)