Please submit the following Request for Quote to receive a quote for Insurance.
*
Company Name:
Position:
*
First Name:
*
Last Name:
*
Email Address:
*
Phone 1:
Office
Home
Mobile
Phone 2:
Work
Home
Mobile
Address:
City:
State/Province:
Select State/Province
AL- Alabama
AK- Alaska
AZ- Arizona
AR- Arkansas
CA- California
CO- Colorado
CT- Connecticut
DE- Delaware
FL- Florida
GA- Georgia
HI- Hawaii
ID- Idaho
IL- Illinois
IN- Indiana
IA- Iowa
KS- Kansas
KY- Kentucky
LA- Louisiana
ME- Maine
MD- Maryland
MA- Massachusetts
MI- Michigan
MN- Minnesota
MS- Mississippi
MO- Missouri
MT- Montana
NE- Nebraska
NV- Nevada
NH- New Hampshire
NJ- New Jersey
NM- New Mexico
NY- New York
NC- North Carolina
ND- North Dakota
OH- Ohio
OK- Oklahoma
OR- Oregon
PA- Pennsylvania
RI- Rhode Island
SC- South Carolina
SD- South Dakota
TN- Tennessee
TX- Texas
UT- Utah
VT- Vermont
VA- Virginia
WA- Washington
WV- West Virginia
WI- Wisconsin
WY- Wyoming
AB- Alberta
AS- American Samoa
BC- British Columbia
DC- District of Columbia
GU- Guam
MB- Manitoba
NB- New Brunswick
NL- Newfoundland and Labrador
NS- Nova Scotia
NT- Northwest Territories
NU- Nunavut
ON- Ontario
PE- Prince Edward Island
PR- Puerto Rico
QC- Quebec
SK- Saskatchewan
VI- Virgin Islands
YT- Yukon
(Required for US and Canada only)
*
Country:
USA- United States
AFG- Afghanistan
ALB- Albania
ALG- Algeria
ASM- American Samoa
AND- Andorra
AGO- Angola
AIA- Anguilla
ATG- Antigua and Barbuda
ARG- Argentina
ARM- Armenia
ABW- Aruba
AUS- Australia
AUT- Austria
AZE- Azerbaijan
BHS- The Bahamas
BHR- Bahrain
BGD- Bangladesh
BRB- Barbados
BLR- Belarus
BEL- Belgium
BLZ- Belize
BEN- Benin
BMU- Bermuda
BTN- Bhutan
BOL- Bolivia
BIH- Bosnia and Herzegovina
BWA- Botswana
BVT- Bouvet Island
BRA- Brazil
IOT- British Indian Ocean
BRN- Brunei
BGR- Bulgaria
BFA- Burkina Faso
BDI- Burundi
KHM- Cambodia
CMR- Cameroon
CAN- Canada
CPV- Cape Verde
CYM- Cayman Islands
CAF- Central African Republic
TCD- Chad
CHL- Chile
CHN- China
CXR- Christmas Island
CCK- Cocos (Keeling) Islands
COL- Colombia
COM- Comoros
COG- Congo
COD- Congo (DRC)
COK- Cook Islands
CRI- Costa Rica
CIV- Cote dIvoire
HRV- Croatia
CYP- Cyprus
CZE- Czech Republic
DNK- Denmark
DJI- Djibouti
DMA- Dominica
DOM- Dominican Republic
ECU- Ecuador
EGY- Egypt
SLV- El Salvador
GNQ- Equatorial Guinea
ERI- Eritrea
EST- Estonia
ETH- Ethiopia
FRO- Faroe Islands
FJI- Fiji Islands
FIN- Finland
FRA- France
GUF- French Guiana
PYF- French Polynesia
GAB- Gabon
PSE- Gaza/West Bank
GEO- Georgia
DEU- Germany
GHA- Ghana
GIB- Gibraltar
GRL- Greenland
GRD- Grenada
GLP- Guadeloupe
GUM- Guam
GTM- Guatemala
GIN- Guinea
GNB- Guinea-Bissau
GUY- Guyana
HTI- Haiti
HMD- Heard Island/McDonald Islands
HND- Honduras
HKG- Hong Kong SAR
HUN- Hungary
ISL- Iceland
IND- India
IDN- Indonesia
IRQ- Iraq
IRL- Ireland
ISR- Israel
ITA- Italy
JAM- Jamaica
JPN- Japan
JOR- Jordan
KEN- Kenya
KIR- Kiribati
KOR- Korea
KWT- Kuwait
KGZ- Kyrgyz Republic
LAO- Laos
LVA- Latvia
LBN- Lebanon
LSO- Lesotho
LBR- Liberia
LIE- Liechtenstein
LTU- Lithuania
LUX- Luxembourg
MAC- Macau SAR
MKD- Macedonia
MDG- Madagascar
MWI- Malawi
MYS- Malaysia
MDV- Maldives
MLI- Mali
MLT- Malta
MHL- Marshall Islands
MTQ- Martinique
MRT- Mauritania
MUS- Mauritius
MYT- Mayotte
MEX- Mexico
FSM- Micronesia
MDA- Moldova
MCO- Monaco
MNG- Mongolia
MSR- Montserrat
MAR- Morocco
MOZ- Mozambique
MMR- Myanmar
NAM- Namibia
NRU- Nauru
NPL- Nepal
ANT- Netherlands Antilles
NLD- Netherlands, The
NCL- New Caledonia
NZL- New Zealand
NIC- Nicaragua
NER- Niger
NGA- Nigeria
NIU- Niue
NFK- Norfolk Island
MNP- Northern Mariana Islands
NOR- Norway
OMN- Oman
PAK- Pakistan
PLW- Palau
PAN- Panama
PNG- Papua New Guinea
PRY- Paraguay
PER- Peru
PHL- Philippines
PCN- Pitcairn Islands
POL- Poland
PRT- Portugal
PRI- Puerto Rico
QAT- Qatar
REU- Reunion
ROU- Romania
RUS- Russia
RWA- Rwanda
ANG- Saint Martin
WSM- Samoa
SMR- San Marino
STP- Sao Tome and Principe
SAU- Saudi Arabia
SEN- Senegal
YUG- Serbia and Montenegro
SYC- Seychelles
SLE- Sierra Leone
SGP- Singapore
SVK- Slovakia
SVN- Slovenia
SLB- Solomon Islands
SOM- Somalia
ZAF- South Africa
ESP- Spain
LKA- Sri Lanka
SHN- St. Helena
KNA- St. Kitts and Nevis
LCA- St. Lucia
VCT- St. Vincent/The Grenadines
SUR- Suriname
SJM- Svalbard and Jan Mayen
SWZ- Swaziland
SWE- Sweden
CHE- Switzerland
SYR- Syria
TWN- Taiwan
TJK- Tajikistan
TZA- Tanzania
THA- Thailand
GMB- The Gambia
TLS- Timor-Leste
TGO- Togo
TKL- Tokelau
TON- Tonga
TTO- Trinidad and Tobago
TUN- Tunisia
TUR- Turkey
TKM- Turkmenistan
TCA- Turks and Caicos Islands
TUV- Tuvalu
UMI- U.S. Minor Outlying Islands
UGA- Uganda
UKR- Ukraine
ARE- United Arab Emirates
GBR- United Kingdom
URY- Uruguay
UZB- Uzbekistan
VUT- Vanuatu
VAT- Vatican City
VEN- Venezuela
VNM- Vietnam
VIR- Virgin Islands
VGB- Virgin Islands, British
WLF- Wallis and Futuna
YEM- Yemen
ZMB- Zambia
ZWE- Zimbabwe
Zip/Postal Code:
*
Is this a quote for a:
   
Year Long Policy
Per Shipment Basis
*
Shipping Method:
Surface
Ocean
Air
Rail
LTL
TL
Other
If you chose "Other" as the Shipping Method above,
please describe the method used:
*
Shipments per Month:
*
Value of Shipment:
Carrier:
For International Ocean Shipments:
Above Deck
Below Deck
Commodity Type:
*
Condition:
New
Used
*
Fragile Items in Shipment?
Yes
No
% of Fragile Items:
*
Mechanical and Electrical Items?
Yes
No
% of Mechanical and Electrical Items:
*
Detailed Commodity Description:
You have
500
Characters remaining...
*
Packaging Method:
You are allowed to select multiple Packaging Methods, but you must select at least one type.
Crate
Cartons
Cartons and Banded
Loose
Pallet
Shrink Wrapped
Pad Wrapped
Other
If you chose "Other" as the Packaging Method above,
please describe the method used:
*
Packaging Entity:
You are allowed to select multiple Packaging Entities, but you must select at least one.
Factory Packed
Carrier Packed
Customer Packed
Third Party
Other
If you chose "Other" as the Packaging Entity above,
please describe the entity:
Projected Load Date:
Month
January
February
March
April
May
June
July
August
September
October
November
December
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2024
2025
2026
Address:
*
City:
State/Province:
Select State/Province
AL- Alabama
AK- Alaska
AZ- Arizona
AR- Arkansas
CA- California
CO- Colorado
CT- Connecticut
DE- Delaware
FL- Florida
GA- Georgia
HI- Hawaii
ID- Idaho
IL- Illinois
IN- Indiana
IA- Iowa
KS- Kansas
KY- Kentucky
LA- Louisiana
ME- Maine
MD- Maryland
MA- Massachusetts
MI- Michigan
MN- Minnesota
MS- Mississippi
MO- Missouri
MT- Montana
NE- Nebraska
NV- Nevada
NH- New Hampshire
NJ- New Jersey
NM- New Mexico
NY- New York
NC- North Carolina
ND- North Dakota
OH- Ohio
OK- Oklahoma
OR- Oregon
PA- Pennsylvania
RI- Rhode Island
SC- South Carolina
SD- South Dakota
TN- Tennessee
TX- Texas
UT- Utah
VT- Vermont
VA- Virginia
WA- Washington
WV- West Virginia
WI- Wisconsin
WY- Wyoming
AB- Alberta
AS- American Samoa
BC- British Columbia
DC- District of Columbia
GU- Guam
MB- Manitoba
NB- New Brunswick
NL- Newfoundland and Labrador
NS- Nova Scotia
NT- Northwest Territories
NU- Nunavut
ON- Ontario
PE- Prince Edward Island
PR- Puerto Rico
QC- Quebec
SK- Saskatchewan
VI- Virgin Islands
YT- Yukon
(Required for US and Canada only)
*
Country:
USA- United States
AFG- Afghanistan
ALB- Albania
ALG- Algeria
ASM- American Samoa
AND- Andorra
AGO- Angola
AIA- Anguilla
ATG- Antigua and Barbuda
ARG- Argentina
ARM- Armenia
ABW- Aruba
AUS- Australia
AUT- Austria
AZE- Azerbaijan
BHS- The Bahamas
BHR- Bahrain
BGD- Bangladesh
BRB- Barbados
BLR- Belarus
BEL- Belgium
BLZ- Belize
BEN- Benin
BMU- Bermuda
BTN- Bhutan
BOL- Bolivia
BIH- Bosnia and Herzegovina
BWA- Botswana
BVT- Bouvet Island
BRA- Brazil
IOT- British Indian Ocean
BRN- Brunei
BGR- Bulgaria
BFA- Burkina Faso
BDI- Burundi
KHM- Cambodia
CMR- Cameroon
CAN- Canada
CPV- Cape Verde
CYM- Cayman Islands
CAF- Central African Republic
TCD- Chad
CHL- Chile
CHN- China
CXR- Christmas Island
CCK- Cocos (Keeling) Islands
COL- Colombia
COM- Comoros
COG- Congo
COD- Congo (DRC)
COK- Cook Islands
CRI- Costa Rica
CIV- Cote dIvoire
HRV- Croatia
CYP- Cyprus
CZE- Czech Republic
DNK- Denmark
DJI- Djibouti
DMA- Dominica
DOM- Dominican Republic
ECU- Ecuador
EGY- Egypt
SLV- El Salvador
GNQ- Equatorial Guinea
ERI- Eritrea
EST- Estonia
ETH- Ethiopia
FRO- Faroe Islands
FJI- Fiji Islands
FIN- Finland
FRA- France
GUF- French Guiana
PYF- French Polynesia
GAB- Gabon
PSE- Gaza/West Bank
GEO- Georgia
DEU- Germany
GHA- Ghana
GIB- Gibraltar
GRL- Greenland
GRD- Grenada
GLP- Guadeloupe
GUM- Guam
GTM- Guatemala
GIN- Guinea
GNB- Guinea-Bissau
GUY- Guyana
HTI- Haiti
HMD- Heard Island/McDonald Islands
HND- Honduras
HKG- Hong Kong SAR
HUN- Hungary
ISL- Iceland
IND- India
IDN- Indonesia
IRQ- Iraq
IRL- Ireland
ISR- Israel
ITA- Italy
JAM- Jamaica
JPN- Japan
JOR- Jordan
KEN- Kenya
KIR- Kiribati
KOR- Korea
KWT- Kuwait
KGZ- Kyrgyz Republic
LAO- Laos
LVA- Latvia
LBN- Lebanon
LSO- Lesotho
LBR- Liberia
LIE- Liechtenstein
LTU- Lithuania
LUX- Luxembourg
MAC- Macau SAR
MKD- Macedonia
MDG- Madagascar
MWI- Malawi
MYS- Malaysia
MDV- Maldives
MLI- Mali
MLT- Malta
MHL- Marshall Islands
MTQ- Martinique
MRT- Mauritania
MUS- Mauritius
MYT- Mayotte
MEX- Mexico
FSM- Micronesia
MDA- Moldova
MCO- Monaco
MNG- Mongolia
MSR- Montserrat
MAR- Morocco
MOZ- Mozambique
MMR- Myanmar
NAM- Namibia
NRU- Nauru
NPL- Nepal
ANT- Netherlands Antilles
NLD- Netherlands, The
NCL- New Caledonia
NZL- New Zealand
NIC- Nicaragua
NER- Niger
NGA- Nigeria
NIU- Niue
NFK- Norfolk Island
MNP- Northern Mariana Islands
NOR- Norway
OMN- Oman
PAK- Pakistan
PLW- Palau
PAN- Panama
PNG- Papua New Guinea
PRY- Paraguay
PER- Peru
PHL- Philippines
PCN- Pitcairn Islands
POL- Poland
PRT- Portugal
PRI- Puerto Rico
QAT- Qatar
REU- Reunion
ROU- Romania
RUS- Russia
RWA- Rwanda
ANG- Saint Martin
WSM- Samoa
SMR- San Marino
STP- Sao Tome and Principe
SAU- Saudi Arabia
SEN- Senegal
YUG- Serbia and Montenegro
SYC- Seychelles
SLE- Sierra Leone
SGP- Singapore
SVK- Slovakia
SVN- Slovenia
SLB- Solomon Islands
SOM- Somalia
ZAF- South Africa
ESP- Spain
LKA- Sri Lanka
SHN- St. Helena
KNA- St. Kitts and Nevis
LCA- St. Lucia
VCT- St. Vincent/The Grenadines
SUR- Suriname
SJM- Svalbard and Jan Mayen
SWZ- Swaziland
SWE- Sweden
CHE- Switzerland
SYR- Syria
TWN- Taiwan
TJK- Tajikistan
TZA- Tanzania
THA- Thailand
GMB- The Gambia
TLS- Timor-Leste
TGO- Togo
TKL- Tokelau
TON- Tonga
TTO- Trinidad and Tobago
TUN- Tunisia
TUR- Turkey
TKM- Turkmenistan
TCA- Turks and Caicos Islands
TUV- Tuvalu
UMI- U.S. Minor Outlying Islands
UGA- Uganda
UKR- Ukraine
ARE- United Arab Emirates
GBR- United Kingdom
URY- Uruguay
UZB- Uzbekistan
VUT- Vanuatu
VAT- Vatican City
VEN- Venezuela
VNM- Vietnam
VIR- Virgin Islands
VGB- Virgin Islands, British
WLF- Wallis and Futuna
YEM- Yemen
ZMB- Zambia
ZWE- Zimbabwe
Zip/Postal Code:
Address:
*
City:
State/Province:
Select State/Province
AL- Alabama
AK- Alaska
AZ- Arizona
AR- Arkansas
CA- California
CO- Colorado
CT- Connecticut
DE- Delaware
FL- Florida
GA- Georgia
HI- Hawaii
ID- Idaho
IL- Illinois
IN- Indiana
IA- Iowa
KS- Kansas
KY- Kentucky
LA- Louisiana
ME- Maine
MD- Maryland
MA- Massachusetts
MI- Michigan
MN- Minnesota
MS- Mississippi
MO- Missouri
MT- Montana
NE- Nebraska
NV- Nevada
NH- New Hampshire
NJ- New Jersey
NM- New Mexico
NY- New York
NC- North Carolina
ND- North Dakota
OH- Ohio
OK- Oklahoma
OR- Oregon
PA- Pennsylvania
RI- Rhode Island
SC- South Carolina
SD- South Dakota
TN- Tennessee
TX- Texas
UT- Utah
VT- Vermont
VA- Virginia
WA- Washington
WV- West Virginia
WI- Wisconsin
WY- Wyoming
AB- Alberta
AS- American Samoa
BC- British Columbia
DC- District of Columbia
GU- Guam
MB- Manitoba
NB- New Brunswick
NL- Newfoundland and Labrador
NS- Nova Scotia
NT- Northwest Territories
NU- Nunavut
ON- Ontario
PE- Prince Edward Island
PR- Puerto Rico
QC- Quebec
SK- Saskatchewan
VI- Virgin Islands
YT- Yukon
(Required for US and Canada only)
*
Country:
USA- United States
AFG- Afghanistan
ALB- Albania
ALG- Algeria
ASM- American Samoa
AND- Andorra
AGO- Angola
AIA- Anguilla
ATG- Antigua and Barbuda
ARG- Argentina
ARM- Armenia
ABW- Aruba
AUS- Australia
AUT- Austria
AZE- Azerbaijan
BHS- The Bahamas
BHR- Bahrain
BGD- Bangladesh
BRB- Barbados
BLR- Belarus
BEL- Belgium
BLZ- Belize
BEN- Benin
BMU- Bermuda
BTN- Bhutan
BOL- Bolivia
BIH- Bosnia and Herzegovina
BWA- Botswana
BVT- Bouvet Island
BRA- Brazil
IOT- British Indian Ocean
BRN- Brunei
BGR- Bulgaria
BFA- Burkina Faso
BDI- Burundi
KHM- Cambodia
CMR- Cameroon
CAN- Canada
CPV- Cape Verde
CYM- Cayman Islands
CAF- Central African Republic
TCD- Chad
CHL- Chile
CHN- China
CXR- Christmas Island
CCK- Cocos (Keeling) Islands
COL- Colombia
COM- Comoros
COG- Congo
COD- Congo (DRC)
COK- Cook Islands
CRI- Costa Rica
CIV- Cote dIvoire
HRV- Croatia
CYP- Cyprus
CZE- Czech Republic
DNK- Denmark
DJI- Djibouti
DMA- Dominica
DOM- Dominican Republic
ECU- Ecuador
EGY- Egypt
SLV- El Salvador
GNQ- Equatorial Guinea
ERI- Eritrea
EST- Estonia
ETH- Ethiopia
FRO- Faroe Islands
FJI- Fiji Islands
FIN- Finland
FRA- France
GUF- French Guiana
PYF- French Polynesia
GAB- Gabon
PSE- Gaza/West Bank
GEO- Georgia
DEU- Germany
GHA- Ghana
GIB- Gibraltar
GRL- Greenland
GRD- Grenada
GLP- Guadeloupe
GUM- Guam
GTM- Guatemala
GIN- Guinea
GNB- Guinea-Bissau
GUY- Guyana
HTI- Haiti
HMD- Heard Island/McDonald Islands
HND- Honduras
HKG- Hong Kong SAR
HUN- Hungary
ISL- Iceland
IND- India
IDN- Indonesia
IRQ- Iraq
IRL- Ireland
ISR- Israel
ITA- Italy
JAM- Jamaica
JPN- Japan
JOR- Jordan
KEN- Kenya
KIR- Kiribati
KOR- Korea
KWT- Kuwait
KGZ- Kyrgyz Republic
LAO- Laos
LVA- Latvia
LBN- Lebanon
LSO- Lesotho
LBR- Liberia
LIE- Liechtenstein
LTU- Lithuania
LUX- Luxembourg
MAC- Macau SAR
MKD- Macedonia
MDG- Madagascar
MWI- Malawi
MYS- Malaysia
MDV- Maldives
MLI- Mali
MLT- Malta
MHL- Marshall Islands
MTQ- Martinique
MRT- Mauritania
MUS- Mauritius
MYT- Mayotte
MEX- Mexico
FSM- Micronesia
MDA- Moldova
MCO- Monaco
MNG- Mongolia
MSR- Montserrat
MAR- Morocco
MOZ- Mozambique
MMR- Myanmar
NAM- Namibia
NRU- Nauru
NPL- Nepal
ANT- Netherlands Antilles
NLD- Netherlands, The
NCL- New Caledonia
NZL- New Zealand
NIC- Nicaragua
NER- Niger
NGA- Nigeria
NIU- Niue
NFK- Norfolk Island
MNP- Northern Mariana Islands
NOR- Norway
OMN- Oman
PAK- Pakistan
PLW- Palau
PAN- Panama
PNG- Papua New Guinea
PRY- Paraguay
PER- Peru
PHL- Philippines
PCN- Pitcairn Islands
POL- Poland
PRT- Portugal
PRI- Puerto Rico
QAT- Qatar
REU- Reunion
ROU- Romania
RUS- Russia
RWA- Rwanda
ANG- Saint Martin
WSM- Samoa
SMR- San Marino
STP- Sao Tome and Principe
SAU- Saudi Arabia
SEN- Senegal
YUG- Serbia and Montenegro
SYC- Seychelles
SLE- Sierra Leone
SGP- Singapore
SVK- Slovakia
SVN- Slovenia
SLB- Solomon Islands
SOM- Somalia
ZAF- South Africa
ESP- Spain
LKA- Sri Lanka
SHN- St. Helena
KNA- St. Kitts and Nevis
LCA- St. Lucia
VCT- St. Vincent/The Grenadines
SUR- Suriname
SJM- Svalbard and Jan Mayen
SWZ- Swaziland
SWE- Sweden
CHE- Switzerland
SYR- Syria
TWN- Taiwan
TJK- Tajikistan
TZA- Tanzania
THA- Thailand
GMB- The Gambia
TLS- Timor-Leste
TGO- Togo
TKL- Tokelau
TON- Tonga
TTO- Trinidad and Tobago
TUN- Tunisia
TUR- Turkey
TKM- Turkmenistan
TCA- Turks and Caicos Islands
TUV- Tuvalu
UMI- U.S. Minor Outlying Islands
UGA- Uganda
UKR- Ukraine
ARE- United Arab Emirates
GBR- United Kingdom
URY- Uruguay
UZB- Uzbekistan
VUT- Vanuatu
VAT- Vatican City
VEN- Venezuela
VNM- Vietnam
VIR- Virgin Islands
VGB- Virgin Islands, British
WLF- Wallis and Futuna
YEM- Yemen
ZMB- Zambia
ZWE- Zimbabwe
Zip/Postal Code:
How did you hear about us?
Online Search
Referral/Word of Mouth
Trucking Company
Trucking/Logistics Web Portal
Insurance Broker
Repeat Customer
Just Typed LogisticsInsurance.com
Tradeshow
News Article
Press Release
News/Magazine Ad
Brochure
Shipsurance
Other