About the Day Center
The basics so we can put the right name on the quote.
Day center address *
Start typing and pick your address from the list — city, state and ZIP fill in for you.
The Shuttle Van
If you haven't bought it yet, tell us what you're looking at and we'll quote that.
Where the van is parked overnight *
Start typing and pick your address from the list — city, state and ZIP fill in for you.
How the Van Will Be Used
Carriers price this based on who rides, how far, and whether riders pay.
Farthest pickup from the center *
Anything about driver training or passenger safety we should know (seat belt checks, wheelchair tie-downs, aide on board, etc.)
Drivers
Everyone who will drive the van.
Any accidents or tickets for these drivers in the last 3 years?
Liability limit you want (or that a contract or state program requires) *
Day center's current business insurance (company, type of policy, renewal date), if any
Any auto or liability claims in the last 5 years?
Anything else we should know?
Your information is secure and will only be used to provide an insurance quote.