Wilkinson Insurance

Get a Full Auto Insurance Quote

Please complete the online quote request form and one of our licensed insurance brokers will be pleased to respond to your request within one business day. All fields marked with an asterisk (*) are required in order to provide you with an accurate quotation. Thank you!

Free Quote Form

* Name:

* Home Address incl. Postal Code:

* Cell Phone:

* Email Address:

* On what date do you need auto insurance coverage to begin?

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Vehicle #1

* Year, Make & Model:

* Purchase Date

* Purchase Price

* Do you own, lease or finance?

* Primary Use?

* If this vehicle is used for commuting, how many kilometers are driven one way to work or school?

* Estimated number of kilometers driven annually?

* Do you use winter tires on this vehicle?

* Who is the primary operator of this vehicle?

* Who is the registered owner of this vehicle?

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Vehicle #2

(Please continue to question Driver #1 if no other vehicle owned)

* Year, Make & Model:

* Purchase Date

* Purchase Price

* Do you own, lease or finance?

* Primary Use?

* If this vehicle is used for commuting, how many kilometers are driven one way to work or school?

* Estimated number of kilometers driven annually?

* Do you use winter tires on this vehicle?

* Who is the primary operator of this vehicle?

* Who is the registered owner of this vehicle?

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Vehicle #3

(Please continue to question Driver #1 if no other vehicle owned)

* Year, Make & Model:

* Purchase Date

* Purchase Price

* Do you own, lease or finance?

* Primary Use?

* If this vehicle is used for commuting, how many kilometers are driven one way to work or school?

* Estimated number of kilometers driven annually?

* Do you use winter tires on this vehicle?

* Who is the primary operator of this vehicle?

* Who is the registered owner of this vehicle?

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Driver #1

* First & Last Name

* Date of Birth

* Marital Status

* Licence Class (G/G2; month and year obtained)

* If licensed less than 3 years, did you complete a Ministry Approved Driver Training Course?

* Drivers Licence Number

* How many years have you been insured on an auto insurance policy in Canada or USA?

* Have you had any insurance claims in the last 6 years?

If Yes, How many?

* Have you had any minor convictions in the last 3 years?

If Yes, How many?

* Have you had any major convictions in the last 3 years?

If Yes, How many?

* Have you had any license suspensions in the last 6 years?

If Yes, How many and why suspended?

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Driver #2

(Please Continue to question * Name of Existing Auto Insurance Company, Policy Number & Expiry Date if no other driver in the household)

* First & Last Name

* Date of Birth

* Marital Status

* Licence Class (G/G2; month and year obtained)

* If licensed less than 3 years, did you complete a Ministry Approved Driver Training Course?

* Drivers Licence Number

* How many years have you been insured on an auto insurance policy in Canada or USA?

* Have you had any insurance claims in the last 6 years?

If Yes, How many?

* Have you had any minor convictions in the last 3 years?

If Yes, How many?

* Have you had any major convictions in the last 3 years?

If Yes, How many?

* Have you had any license suspensions in the last 6 years?

If Yes, How many and why suspended?

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Driver #3

Please continue to question * Name of Existing Auto Insurance Company, Policy Number & Expiry Date if no other driver in the household)

* First & Last Name

* Date of Birth

* Marital Status

* Licence Class (G/G2; month and year obtained)

* If licensed less than 3 years, did you complete a Ministry Approved Driver Training Course?

* Drivers Licence Number

* How many years have you been insured on an auto insurance policy in Canada or USA?

* Have you had any insurance claims in the last 6 years?

If Yes, How many?

* Have you had any minor convictions in the last 3 years?

If Yes, How many?

* Have you had any major convictions in the last 3 years?

If Yes, How many?

* Have you had any license suspensions in the last 6 years?

If Yes, How many and why suspended?

* Name of Existing Auto Insurance Company, Policy Number & Expiry Date

* Do you wish to also receive a property insurance quote (home, condominium or tenant) in order to benefit from a multi-policy discount? (This savings can be significant)

If Yes, Please select the type of Property Insurance Coverage required

Quick Links

Contact

1-64 Sandiford Drive

Stouffville, ON L4A3V9

Fraser: 905 642-0381

Moller Insurance: 905 642-2745

fraser@mollerinsurance.com