McFarlan Rowlands - Personal Automobile Insurance

Personal Automobile Insurance

Other insurance websites offer "on-line" quotes, but behind the website, there is only one company. That means only one quote. When you submit the form below, your request is immediately queued for service. We will quote your business with the top insuring companies in Canada and present you with the most competitive premium. You'll get the reliability you expect from an insurance policy and you could save 10-20% over your existing policy. We're more than "Click Here to Buy" and we're proud of it.

Request for Quotation

Although most fields in the following form are optional, by supplying us with detailed information your quote will be processed faster and more accurately. All information is kept strictly confidential. For more detailed information, please see our Privacy Statement.

* indicates a required field
NOTE: The following form is exclusively for use by residents of Ontario, Canada

Driver Details
Name:	*
Address:
City:	*
Postal Code:	*
Phone:	*
Email Address:	@*
Are you a client of McFarlan Rowlands?:	Yes No
Date of Birth:
Marital Status:	Single Married
Sex:	Male Female
License Class:
Date G2 License received:
Date G License received:
Driver Training	Yes No
Driving History
Tickets within last 3 years?	Yes No
If YES:	Please describe, giving date(s) and reason(s) for ticket:
Claims within last 6 years:	Yes No
If YES:	please describe, giving date(s) and details:
Vehicle Details
Year:
Make (e.g. Chrysler):
Model (e.g. Intrepid):
2 Door / 4 Door	2 door 4 door
Principal Operator's Name:
Do you drive to work?	Yes No
If YES:	kms to work one way

If there is more than one driver, click Additional Drivers
If there is more than one vehicle, click Additional Vehicles
Current insurance company:
Policy expiry date:
Liability Coverage:
Collision Deductible:
Comprehensive Deductible:
Loss of Use Required?	Yes No

By checking this box, I indicate that I have read, understood, and AGREE to the terms of McFarlan Rowlands' Privacy Statement.
When you are done, click on the "Submit" button below.

DISCLAIMER: By submitting this request for quotation, it is hereby understood that this is not a Policy of Insurance, Insurance Application or Offer by McFarlan Rowlands Insurance Brokers to insure on behalf of any Company. We reserve the right to accept or deny any and all requests, upon examination and analysis.

Only use the following section if there is more than one driver and/or more than one vehicle.

Additional Drivers:
Driver #2
Name:
Date of Birth:
Sex:	Male Female
License Class:
# Years Licensed:
Driver Training	Yes No
Driving History
Tickets within last 3 years?	Yes No
If YES:	Please describe, giving date(s) and reason(s) for ticket:
Claims within last 6 years:	Yes No
If YES:	please describe, giving date(s) and details:

Driver #3
Name:
Date of Birth:
Sex:	Male Female
License Class:
# Years Licensed:
Driver Training	Yes No
Driving History
Tickets within last 3 years?	Yes No
If YES:	Please describe, giving date(s) and reason(s) for ticket:
Claims within last 6 years:	Yes No
If YES:	please describe, giving date(s) and details:

If you have additional vehicles, click here. Otherwise, click here and you will be returned to the main form.
Additional Vehicles:
Vehicle #2
Year:
Make (e.g. Chrysler):
Model (e.g. Intrepid):
2 Door / 4 Door	2 door 4 door
Principal Operator's Name:
Do you drive to work?	Yes No
If YES:	kms to work one way

Vehicle #3
Year:
Make (e.g. Chrysler):
Model (e.g. Intrepid):
2 Door / 4 Door	2 door 4 door
Principal Operator's Name:
Do you drive to work?	Yes No
If YES:	kms to work one way

Click here to return to the main form.