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Truck Insurance Quote


Fill out the following form as completely as possible. Once you have completed the form, click the Submit button to send your information. Your request will be handled promptly.

Personal Information
First Name *
Last Name *
E-Mail Address *
Street *
City *
State *
ZIP / Postal Code *
Primary Phone Number *
Business
How Long In Business *
Commodities Hauled By% *
Radius (farthest trip-air miles) *
Effective Date
/ /
Authority:
US DOT NUMBER
Docket Number
MC NUMBER
Name of Driver (First, Last) *
Date of Birth
/ /
How many years of experience do you have?
License (State, Number)
Does this driver have any major violations (5yrs), accidents or minor violations (3yrs), comprehensive or collision claims (3yrs)? *
Vehicle Info:
Year Model of Truck *
Make *
GVW
Estimated Value
Amount of Desired Insurance
Coverages/Limits:
Limits of Liability
Deductibles:
Specified Perils
Comprehensive Deductible
Collision Deductible
Cargo:
Cargo Limit Needed
Deductible Amount
Reefer Breakdown:

Comments or Questions
Submission Validation
Required

Important Notice
Any submissions or payments made via this website do not constitute a binding agreement to your policy or coverages. Changes and payments to policies are not effective or binding until you, or any party involved, receive official notice from either your insurance agent, or your insurance company. If you have any questions, please feel free to contact us.

Per the terms of our online privacy policy we will not resell your information to any third-party.
Southern Truck Insurance Services, Inc.
9901 Running Cedar Ln
Indian Trail, NC 28079
704-226-0728

Truck, Auto, & RV Insurance
Call today for a great deal!
Serving Maryland,
North Carolina,
South Carolina,
& Tennessee.