Coverage Options:

Apply for Trucking Insurance

My Own Authority Leasing onto a Motor Carrier

Non-Trucking Liability/Physical Damage Coverage

"*" indicates required fields

Business Contact Information

Business Name (if any)

Owner's Name*

First Last

FEIN (if any)

Last 4 of Social*

Please enter a number greater than or equal to 0.

Years as Owner/Operator*

Address*

Street Address Address Line 2 City State ZIP Code

Email*

Phone*

Business Operations

Motor Carrier you are leasing on to.*

MC Name

DOT #

Radius of Operations*

States Entered*

Please list a few items being hauled*

Commodities Hauled

Ex. Paper products, equipment, machinery, grain, etc.

Driver Information

Driver First Name

Driver Last Name

Date of Birth

License Number

License State

Years of Class A CDL experience

# of moving violations in last 3 yrs

# of at fault accidents in the last 3 yrs

Is Owner

Include owners and click plus sign to add any additional drivers

Tractor Information

Tractor Information*

Year

Make

Model

VIN

Stated Value ($)

Trailer Information (if any)

Trailer Information

Year

Make

Model

VIN

Stated Value ($)

Hidden

Listing URL

Comments/Notes to the agent

ATTENTION*

Please be aware that some of our insurance carriers use personal credit history and information found on your credit report along with your driving record (MVR report) to generate pricing. By clicking submit, you are agreeing to these terms.

I agree

Own Authority Coverage

1Truck

2Applicant

3Operations

4Driver(s)

5Trailer

6Current Coverage

7Confirmation

Hidden
Source
Hidden
Listing URL
Year*
Manufacturer*
Model*
VIN #
Stated Value ($)*
Requested Physical Damage Deductible*
When are you looking to place coverage?*
Desired Policy Effective Date*

MM slash DD slash YYYY
Year authority established*
How long has current federal operating authority been active?*

Applicant Business Name*
Year business established*
Business Structure*
Out of the past five years, state the number of completed full years you have owned/leased and operated your own truck?*
Country of Residence*
Applicant - Mailing Address*
Street Address Address Line 2 City State ZIP Code
Applicant - Mailing Address
Street Address Address Line 2 City Province Postal Code
Applicant - Garaging Address*
Same as previous

Street Address Address Line 2 City State ZIP Code
Address - Garaging Address
Street Address Address Line 2 City Province Postal Code
Contact Name*
First Last
Phone*
Email*
Enter Email Confirm Email
Date of Birth*
MM slash DD slash YYYY
Drivers License Number

Trucking insurance

Commercial drivers face a number of risks on the road, including accidents, severe weather and equipment breakdowns.

Many commercial transportation companies mistakenly believe that they only have to worry about risk management after an incident, but the truth is you can start saving now by implementing safety and risk evaluation programs. We can provide you with guides, workplace policies and other resources so you can protect your bottom line right now.

Own authority application

Leasing onto a motor carrier

American style truck on freeway pulling load. Transportation theme. Road cars theme.

Heavy Load Cargo Delivery. Caucasian Truck Driver Inside Semi Tractor Cabin and the Blue Sky. Transportation Industry.

What does “drive home” mean?

Drive home insurance is a temporary form of insurance. Drive home provides you enough coverage to get behind the wheel and drive your newest purchase to your home or base of operations. You will then need to find permanent insurance for your vehicle before using it for commercial operations.

Drive home coverage can also be used to cover your truck if you need to move it to a new location or take it for repairs. Coverage is available for both liability and physical damage for the duration of the policy.

Drive home application

UNICO Group

1128 Lincoln Mall, Suite 200, Lincoln, NE 68508
402 955-9002 | [email protected]

About UNICO | Contact Us

Details of loss	Amount Paid