Welcome Truckers!

Aspire Insurance Group is the Trucking Affiliate of Extra Mile Insurance - www.extramileins.com. Please review and fill out the form below to get started. We are excited to connect with you!

Contact Information

Address
Main Contact

Business Information

(e.g., sole proprietorship, partnership, corporation)
What type of goods do you transport?

Filings

Authority
if applicable
State
Federal

Trucking Operations

Freight Information
Commodities Hauled
Average Value
Max Value
% of Total Hauls
 

Operations/Route Information

Operation Type
Fixed/Regular Route %
Irregular %
 
Do vehicles/trailers have GPS tracking?
List states and largest cities entered
State
City
 
People with their own trucks or lease trucks to other businesses.

Driver Information

i.e.Slip seating
If yes, how many years?
Person responsible for driver supervision
Please list all drivers
Name
DOB
State
DL #
 

Vehicles

List all autos
Year
Make
Model
VIN
Value
Coverage desired
Is there a lienholder?
 

Insurance History

Max. file size: 5 MB.
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