Kyle Insurance Co. Boat, RV, Motorcycle Quote
Please fill out this form so we can begin working on a quote for you ASAP.
Name
Date of Birth
License Information
Spouse or Additional Owner Name
Spouse or Additional Owner Date of Birth
Spouse or Additional Owner License Information
Phone Number
Email
Garaging/Mailing Address (where the item is stored regularly overnight)
Do you own or rent your home?
Select an option
Own a Home or Condo
Own a Mobile/Manufactured home
Rent
Live with Family or Other
New Purchase?
I currently own this vehicle
This is a new purchase of a vehicle
Type of Vehicle?
Select an option
ATV
Boat
5th Wheel
Golf Cart
JetSki - Personal Watercraft
Motorcycle
Motor Home
Travel Trailer
Other - Please let us know in note to agent
Year?
Make
Model
Vin/Serial Number
Current Value
Is there a trailer that needs to be insured? If yes, please provide Year, Make and Value below.
Years of experience operating this type of vehicle?
Select an option
0
1
2
3
4
5
6
7
8
9
10
More than 10 Years
Do you have a Safety Course or Motorcycle Endorsement on your license?
Select an option
Yes, Boater Safety Course
Yes, Motorcycle Endorsement
No
Max Speed? (Watercraft Only)
Select an option
Under 35 MPH
Under 45 MPH
Under 55 MPH
Under 60 MPH
Under 65 MPH
Under 70 MPH
Under 80MPH
Under 100 MPH
Over 100 MPH
Are you currently insured?
Yes with no lapse
Lapse but less than 30 days
Lapse over 30 days
New Purchase
Length of Vehicle/Vessel
Select an option
10 feet or less
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46 and larger
Annual Milage
2500 or less
5000 or less
7500 or less
10000 or less
12000 or less
Over 12000
Do any of the following apply?
I use my vehicle for work (not commuting)
An at-fault accident in the past 5 years?
Two or more tickets in the past three 3 years?
I use my vehicle for Uber/Lyft or something similar.
I have an Umbrella Policy and need to maintain certain Liability Limits.
One or more vehicles have a rebuilt or salvage status title
I rent my vehicles to other via Turo or something similar
A DUI conviction in the past three 3 years?
None of these applies
PDF **ONLY** Upload - Current Policy, Drivers License or any other documents
Select a File
Image/Screen Shot **ONLY** Upload - Current Policy, Drivers License or any other documents
Select a File
To get an accurate quote we need to run your loss history and consumer reports (soft credit check) If you ask us to bind coverage you automatically agree for the reports to be run.
Select an option
I give permission to run loss history & consumer reports
Do not run my loss history & consumer reports (you can still get a quote but it may not be accurate)
Note to Agent
500
How did you hear of Kyle Insurance Co?
Google
Facebook
Friend or Coworker
Realtor or Lender
Other
I understand that proof or prior coverage (declarations page unobscured) may be required prior to quoting and/or binding and carriers may require additional documentation.
If you need a household member to be covered to drive your vehicle/vessel you need to notify your agent/carrier before. I agree to notify Kyle Ins Co. of any driver that needs to be rated or excluded on the quote/policy.
I understand any member in the household of driving age must be rated or excluded on my quote/policy. Once a driver is excluded, they will not be covered at all — even if you gave them permission to use your vehicle/vessel.
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