Texaspartnersinsurance

We offer insurance protection for Tractor Trailers, Straight Trucks, Service Trucks, Vans Commercial Autos, Hot Shot Operators and Pickup Trucks.

We welcome risks, which are difficult to insure.

Fill out the Truck Insurance Application.pdf to get a quote today. You may mail or fax the application. In order to download, or print the applications, you will need the free Adobe Reader.

Submission Guidelines

More Information

Name

Business Name

Type Of Business (Sole Prop/Inc/LLC/Other)

Street Address

City

State/ Province

Zip/Postal Code

County

Garaging Address

Garaging - City

Garaging - State/Province

Garaging - Zip/Postal Code

Garaging - County

Work Phone

Home Phone

Tax ID # or Social

FAX

E-mail

Years in Business

Effective Date

Business Description

Schedule of Vehicles/Trailers

Year

Make

VIN

GVW

ACV-Actual CashValue

Commodities Hauled - Percentages Of Each

Leasing Info

Number of owned units

Number of leased units

Is insured hauling for hire?

Yes

Driver Information

Name

DOB

CDL Number & State

Experience

Date of Hire/Lease

MVR Info

Coverages

Liab CSL

Excess Liab:

U/M

PIP

Comp. DED

SCOL DED

Coll. DED

Med Pay

Cargo DED

Cargo Limit

Reefer Cargo

Excess Cargo

GL CSL

Payroll

Non-trucking

Others

MC#

TxDOT

USDOT

Leased To

Address

More Information

Carrier

No. of Losses

Total $ Amount

Current year

1st Prior Year

2nd Prior Year

Has previous coverage been cancelled or denied?

Yes

If yes, please explain why:

Comment

Long Haul Trucking Insurance – Cargo Insurance

We welcome risks, which are difficult to insure.

Submission Guidelines

More Information

Schedule of Vehicles/Trailers

Largest Cities Entered:

Commodities Hauled - Percentages Of Each

Leasing Info

Driver Information

Coverages

More Information