AUTO INSURANCE

Are you under age 23?

Yes No

Do you presently have a G1 or G2 license?

Yes No

Have you been licensed less than 5 years?

Yes No

Have you had more than one ticket (excluding parking tickets) in the past 3 years?

Yes No

Have you or anyone driving your vehicles had any accidents or claims that are your fault in the past 5 years?

Yes No

Has your drivers’ license been suspended or cancelled for any reason in the past 6 years?

Yes No

Has your auto insurance been cancelled by any insurance company in the past 3 years?

Yes No

Have you had continuous auto insurance for less than 3 years?

Yes No

Are you uninsured for auto insurance now? (not covered under a policy)

Yes No