RV Quote Request RV The information below will assist us in providing you an accurate proposal based on driving history and vehicle features. Effective Date* MM slash DD slash YYYY When you need coverage to startPrimary Insured* First Last Gender* Male Female Date of Birth* Month Day Year Marital Status* Single Married Drivers License* For non-California drivers licenses, please indicate which state or country. For example: 012 345 678 (New York) or 2563487 (British Columbia).Occupation* Many insurance companies offer professional discounts. ie. engineer, scientist, physician, educator, CPA, Good Student w/ GPA 3.0+, etc. Parking Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Insurance rates are based on a vehicle's parking/garaging address.Household Drivers* 1 2 3 4 5+ How many licensed drivers are in the household?Current Insurance Company ie. State Farm, Allstate, GeicoRVYear* ie. 1985, 1999, 2011Make* ie. Winnebago, CoachmenModel* ie. Vista, FreelanderRV Length (in feet)* ie. 22', 30 ftVIN* The vehicle identification number (VIN) can be found on the driver side dashboard, door jam sticker and/or vehicle registration document (17-characters).Purchase Date* Month Day Year Estimate OK.Vehicle Ownership* Paid in full (no payments) Financed (loan oustanding) Do you live in the RV full time?* Yes No Estimated Market Value ($)*Annual Mileage*Less than 4,000 miles per year4,000 - 7,000 miles per year7,000 - 10,000 miles per year10,000 - 12,000 miles per year12,000 - 15,000 miles per yearMore than 15,000 miles per yearHow many miles do you estimate to drive each year? Average commuter drives between 10,000-13,000 miles per year.Odometer Reading* Total number of miles the vehicle has been driven. Estimate OK.Insurance Coverage OptionsBodily Injury Liability (per person/per occurence)* $50,000/$100,000 $100,000/$300,000 $250,000/$500,000 $500,000/$500,000 This covers medical expenses for others if you are determined to be "at-fault" for an accident. Uninsured/under insured bodily injury liability coverage will automatically be added.Property Damage Liability* $50,000 $100,000 (Recommended) $500,000 Covers vehicle and property damage repair/replacement costs when insured is found to be negligent or at-fault.Medical Payments* $1,000 $5,000 $10,000 No Coverage Medical payments differ from bodily injury coverage. The driver does not need to be found liable or at-fault for damages. Often referred to as "first dollar coverage."Comprehensive Deductible* $100 $500 $1,000 No Coverage (Decline) Amount insured must pay before repairs/replacement costs are covered by insurance company. Typical comprehensive claims include vandalism, theft, falling objects and glass damage.Collision Deductible* $100 $500 $1,000 No Coverage (Decline) In the event insured is found to be negligent or at-fault, the selected deductible must be paid before repair/replacement costs for insured's vehicle are covered by the insurance company.Optional Coverage* None Towing and Roadside Assistance Other Household DriversDriver 2*Provide information in this format: First and Last Name Gender Date of Birth Drivers License # Relationship (ie. spouse, child, relative, roommate) Occupation (ie. Engineer, Attorney, Teacher, Student)Driver 3*Provide information in this format: First and Last Name Gender Date of Birth Drivers License # Relationship (ie. spouse, child, relative, roommate) Occupation (ie. Engineer, Attorney, Teacher, Student)Driver 4*Provide information in this format: First and Last Name Gender Date of Birth Drivers License # Relationship (ie. spouse, child, relative, roommate) Occupation (ie. Engineer, Attorney, Teacher, Student)Driver 5*Provide information in this format: First and Last Name Gender Date of Birth Drivers License # Relationship (ie. spouse, child, relative, roommate) Occupation (ie. Engineer, Attorney, Teacher, Student)Additional InformationUpload Photos of RV* Drop files here or Select files Accepted file types: jpg, png, pdf, Max. file size: 50 MB, Max. files: 6. ie. Include four photos: front, rear, driver side, passenger sideCommentsie. Please include any upgrades or existing damage to the RV.Email* Enter Email Confirm Email Personalized proposal will be sent to this email address.Phone*