Washington Commercial Auto Insurance Quote

Business Name:
Premises Address:
City:
State: Washington or Idaho
Zip Code:
Contact Name:
Phone #:    Ext #:
Fax:    Years in Business:
Email Address: (Required)
Federal Employer's ID #:
Description of Operations or SIC code:

Washington Vehicle Information:
(if more than 3 commercial vehicles please provide best time to contact)

Vehicle     Year              Make              Model             Body Type
     1
     2
     3

Additional Vehicle Information:

                Miles          Cost                                          Where              Lienholder
Vehicle   Driven         New            VIN#                    Garaged              Yes/No
     1
     2
     3

Washington Commercial Auto Insurance Coverage Information:

                      Liability                 Property                   Uninsured
Vehicle  Combined Limits          Damage               Combined Limits         Medical
     1
     2             SAME                       SAME                       SAME                   SAME
     3             SAME                       SAME                       SAME                   SAME

                   Collision         Comprehensive
Vehicle    Deductible           Deductible
     1
     2
     3

Washington Driver Information:

                                  Drivers                          Date of                                              Drivers
Driver                       Name                               Birth                  Gender                 License #
     1
     2
     3

Is each employee's driving record accident & violation free during the past 5 years?
Driver
     1       If No, how many accidents?    How many violations?
     2       If No, how many accidents?    How many violations?
     3       If No, how many accidents?    How many violations?

Was any employee's driver's license suspended during the past 5 years?
Driver
     1
     2
     3

Recent Insurance Information:

Current Insurance Company:
Expiration Date: (mm/dd/yyyy)
Any losses past 3 years:
Description of losses, including amount paid on each accident:

Additional Information or Comments

Click on the "Submit Quote Request" button below to send your
Washington Commercial Auto Insurance quote request.**

**Information received from this Washington Commercial Auto Insurance quote request
form sent to The Fletcher Agency will be for our use only and will not be sold, given
to, or distributed to any other parties. A quote will be based on the Washington commercial
auto insurance information provided and does not guarantee acceptance of the risk by us.
The precise coverage afforded is subject to meeting underwriting guidelines, and the terms,
conditions and exclusions of the policy as issued. By submitting this request you
acknowledge that this is neither an offer to insure nor a guarantee of insurance.
Completion of this form does not entitle your business to a Washington Commercial Auto
Insurance policy. We are licensed in Washington and Idaho, and will not provide
commercial auto insurance quotes for other states.

Washington Commercial

Auto Insurance Quote

Any questions about

Washington Commercial

Auto Insurance?

We can offer more affordable Washington Commercial

Auto Insurance coverage quotes for your Spokane

County, Washington small business!

The Fletcher Agency of
Spokane, WA offers
comprehensive commercial
insurance coverage options
and affordable business
insurance services throughout
Washington.

In addition to Washington
Commercial Auto Insurance
quotes, we also offer affordable
Commercial Property Insurance
quotes.

We are a Spokane, WA insurance agency offering affordable
Washington commercial auto insurance quotes to small business
in the following towns, cities and counties in Washington state:
Opportunity, Millwood, Dishman, Seven Mile, Veradale, Spokane
Valley, Trentwood, Pasadena Park, Glenrose, Country Homes,
Greenacres, Newman Lake, Otis Orchards, Airway Heights, Mead,
Colbert, Buckeye, Chattaroy, Milan, Deer Park, Elk, Clayton,
Tumtum, Long Lake, Ford, Deep Creek, Reardan, Four Lakes,
Medical Lake, Espanola, Marshall, Tyler, Cheney, Vallyford,
Spangle, Plaza, Mica, Freeman, Manito, Fairfield, Waverly,
Rockford, Whitman County, Pend Oreille County, Lincoln County,
Stevens County, and Spokane County, WA. We can also offer
lower cost Washington commercial auto insurance quotes to
throughout the state of Washington.