Monday to Friday 8:00AM – 6:00PM917-601-6426 info@doubleshieldins.com
DBA (If any)
DOT (If any)
Owner's Address (if different from company address)
Please add anyone who drives or is expected to drive any vehicle covered by the policy in any capacity during the policy period.
Value (if physical damage insurance is required)
Add another vehicle by year , make , model or VIN You should include all vehicles/trailers used in the customer’s business that will be in his or her possession for greater than 30 days.
Add another trailer by year , make , model or VIN You should include all vehicles/trailers used in the customer’s business that will be in his or her possession for greater than 30 days.
By submitting , I certify and represent that the information provided to Double Shield Insurance Agency is true, correct and complete to the best of my knowledge. I authorize Double Shield Insurance Agency to use the submitted information for insurance quoting purpose.
