Stratford Private Auto Insurance BC

Thank you for inquiring about Stratford Private Auto. In order for us to provide you the best possible quote and determine eligibility please answer the questions below.

1) Have you had more than 1 at-fault accidents in the last 5 years?

YES
NO

2) Have you had more than 6 penalty points in the last 5 years?

YES
NO

3) Have you ever had your drivers license suspended, cancelled, or prohibited in the 5 years?

YES
NO

4) Have you have ever been declined, cancelled insurance or the insurer refused to renew your policy?

YES
NO

5) Are you using this vehicle for delivery for compensation or hire?

YES
NO

6) Is this vehicle an imported right-hand drive vehicle?

YES
NO

If you answered YES to any of the questions above, unfortunately you are not eligible for Stratford Private Auto coverage at this time. You still however, are qualified for ICBC optional coverage. Please contact a Sussex Insurance location near you or fill out our ICBC Online request form to submit your request for renewal online. www.sussexinsurance.com/icbc-renewals

Good News! If you answered NO to all of the questions above you may quality for a Stratford Private Auto! In order to provide an accurate quote the agent will need additional information when they contact you. Please fill out your contact info below and we'll be in touch soon.

First Name*

Last Name*

Date of Birth*

Phone*

Email*

Insurance Expiry*

What is your Vehicle Model & Year?*

How is the vehicle being used?

What is the Postal Code where the vehicle is being parked?

Would you like a quote on an additional vehicle?*

YES
NO

What is your Vehicle Model & Year?*

Are you a Sussex Insurance Agent?*

Agent Name

First Last

Agent, Select your Sussex Insurance office below:*

Select your closest Sussex Insurance location:*

How did you hear about us?

Google Search
TV Commercial
Social Media
Radio
Existing Customer
Word of Mouth
Newspaper Ad
Other

Other

How did you hear about us?

Consent*

YES, I accept

By ticking this box I consent to sending/receiving my personal information, insurance information and, if applicable, banking information by email and phone.

Submit your request and we'll get back to you as soon as possible. Please note: In order to provide an accurate quote the agent will need additional information when they contact you.

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