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California Trucking Insurance
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Quote Transportation Insurance
New Venture Questionnaire
Used Heavy Truck Dealer
Workers Compensation
Agent Information
California Trucking Insurance
Home
Quote Transportation Insurance
New Venture Questionnaire
Used Heavy Truck Dealer
Workers Compensation
Agent Information
New Venture Questionnaire
New Venture Questionnaire
NEW VENTURE QUESTIONNAIRE
Named Insured
*
The named insured is the business owner or legal entity
Effective Date of New Venture
*
The date this New Venture started
FEIN# or Social Security #
*
We must have either your Federal Employer Identification number or your Social Security Number
How long have you been driving tractor/trailer Units?
*
What date did you first receive your Drilver License and in What State?
*
Who did you drive for prior to becomming a new Venture?
*
What did you haul prior to becoming a new venture?
*
Provide your prior route
*
What will your "future route" be?
*
2000
What will you be hauling and for whom?
*
Will the New Venture require financing of the operation?
*
Yes
No
With whom will the new financing be?
*
Are you applying for an ICC Authority with the Named Insured Above?
*
Yes
No
When?
*
Since you answered no, Who's authority will you use?
Do you expect to increase the number of vehicles within one year?
*
Yes
No
How many and when?
HIRING PRACTICES AND VEHICLE MAINTENANCE
Describe you hiring practices
Describe your vehcile maintenance program
*
Will you allow trip leasing?
*
Yes
No
Will you allow team drivers?
Yes
No
Are family members traveling with you?
*
Yes
No
Name relationship and name of family members who travel with you
What are your anticipated gross yearly receipts?
*
What is your total yearly estimated annual mileage?
*
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