J.D. Smith Online Motorcycle Quotation

Welcome to the J. D. Smith Ontario Online Motorcycle Insurance Estimator

You are now on the road to affordable motorcycle insurance online. Please answer the following questions and take advantage of the speed and confidentiality of our secure Internet connection. Once you have finished, you will INSTANTLY receive a no obligation estimate that may be more affordable than what you are paying now. If you are interested in finding out more information on our insurance policies, please contact one of our insurance brokers.

Keep in mind that all requested information must be disclosed to result in an accurate estimate.

For your convenience, please have the following information at hand:

Information on all motorcycles to be quoted (year, make, model)
Driver information on all riders to be quoted (licence information, claim information)

Rider Information


Postal code?
City?
Email Address?

	Rider #1	Rider #2	Rider #3

First name?
Date of birth?
Gender?
Marital status?
Relationship To Applicant?
Licence class?
Date M licence class was obtained?
Date M2 licence class was obtained?
Date M1 licence class was obtained?
Driver has taken a motorcycle safety training course?
Member of recognized motorcycle club or association? (Press Ctrl key and click to choose more than one)

Driving History

	Rider #1	Rider #2	Rider #3

Does this rider have prior motorcycle insurance in Canada or the United States?
Years of continuous insurance coverage in Canada?
Years of continuous motorcycle insurance coverage with your current insurance company?
Has rider had his/her rider's licence cancelled in the last 3 years?
Has rider had his/her rider's licence suspended in the last 6 years?
How many minor conviction traffic tickets has rider had in the past 3 years? (not parking tickets)
What was the charge for traffic ticket #1?
What was the date for traffic ticket #1?
What was the charge for traffic ticket #2?
What was the date for traffic ticket #2?
What was the charge for traffic ticket #3?
What was the date for traffic ticket #3?
How many major conviction traffic offences has rider had in the past 3 years?
What was the charge for major conviction #1?
What was the date for major conviction #1?
What was the charge for major conviction #2?
What was the date for major conviction #2?
What was the charge for major conviction #3?
What was the date for major conviction #3?
How many criminal conviction traffic offences has rider had in the past 3 years?
What was the charge for criminal conviction #1?
What was the date for criminal conviction #1?
What was the charge for criminal conviction #2?
What was the date for criminal conviction #2?
What was the charge for criminal conviction #3?
What was the date for criminal conviction #3?
How many motorcycle claims or accidents, has rider had in the past 6 years?
What was the reason for the claim or accident #1?
What was the date for the claim or accident #1?
What Motorcycle or its replacement involved in the claim or accident #1?
What was the reason for the claim or accident #2?
What was the date for the claim or accident #2?
What Motocycle or its replacement involved in the claim or accident #2?
What was the reason for the claim or accident #3?
What was the date for the claim or accident #3?
What Motocycle or its replacement involved in the claim or accident #3?

Motorcycle Information

	Motorcycle #1	Motorcycle #2	Motorcycle #3

Motorcycle year?
Motorcycle make?
Motorcycle model?
Engine displacement? (cubic centimetres)
Is the motorcycle turbo charged?
Has the motorcycle been modified?
Motorcycle anti-theft device?
Manufacturer Suggested Resale Price	$	$	$
Value of accessories? (if applicable)	$	$	$
Primary driver for this motorcycle? (first name of Rider listed above)
Primary use for this motorcycle?
Kilometres driven annually?

Coverage Information

	Motorcycle #1	Motorcycle #2	Motorcycle #3

Third Party Liability:
Comprehensive Deductible:
Collision Deductible:
Loss of use: