Personal auto
One or more vehicles, all drivers in the household.
Full legal name
The policy has to be issued in the exact name that appears on your licence or your deed. A nickname or an initial can delay the policy or cause a claim to be questioned.
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Date of birth
Age is a rating factor on every personal line in Quebec, and it confirms your driving experience. Insurers verify it against SAAQ records.
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Email address
Phone number
Language you want your documents in
Current address
Name
Date of birth
Driver’s licence number
The licence number is how the insurer pulls your official driving record from the SAAQ. Without it the quote is an estimate only and the premium can change once it is verified.
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Year you were first licensed
Years of experience is worth more to your premium than age. Experience earned outside Quebec counts if you can show a letter from the former insurer.
If they don't know: We have to rate from the date shown on the SAAQ record, which usually starts at your Quebec licence and ignores any experience earned elsewhere.
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Relationship to you
Any tickets or convictions in the last 3 years?
Minor tickets often cost nothing at all. What matters is a major conviction, an impaired driving charge or a licence suspension, and those we need to know about before we approach an insurer rather than after.
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Has this licence ever been suspended?
Year
Make
Model and trim
Trim level changes the rate more than people expect. The same model in a sport trim can sit two rate groups higher.
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Serial number (VIN)
The serial number is the only thing that identifies your exact vehicle, including factory options that change the rate. It is on your registration, on the driver’s door frame and at the base of the windshield.
If they don't know: We can quote without it, but no insurer will put the policy in force without the serial number, so we will have to come back to you for it.
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Is it owned, financed or leased?
A lender or a leasing company has to be named on the policy and has to receive proof of insurance. Leaving them off can put you in default of your financing agreement.
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Name of the lender or leasing company
When did you buy or lease it?
Replacement cost endorsements are only available within a set number of months of purchase, so the date decides what we can still offer you.
If they don't know: We will assume the vehicle is outside the window for replacement cost coverage, which may cost you an endorsement you were entitled to.
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Main use
Kilometres driven per year
Low annual mileage is a real discount, but an understated figure is a misrepresentation. If you are not sure, the odometer reading and the purchase date give us a reliable average.
If they don't know: We will rate at the standard 15,000 km per year, which removes any low-mileage discount you might have qualified for.
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One-way distance to work (km)
Is this vehicle ever used for food delivery, rideshare or courier work?
This is the single most common reason a Quebec auto claim is denied. A standard policy excludes carrying goods or passengers for compensation, so if anyone in the household does this even occasionally we need to add the right endorsement.
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Where is it parked overnight?
Does it have an anti-theft or tracking device?
Several insurers now require a tracking device on the models most often stolen in Quebec, and will decline the risk outright without one.
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Civil liability limit
In Quebec the SAAQ covers bodily injury, so this limit responds to property damage and to injuries caused outside Quebec. Going from one to two million is usually a small difference in premium.
If they don't know: We will quote the $1,000,000 minimum, which is often not enough for an accident outside Quebec.
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Collision deductible
Comprehensive deductible
Do you want replacement value (F.A.Q. 43)?
Without this endorsement a total loss is settled at depreciated value, which on a three-year-old vehicle is often well below what you still owe on your financing.
If they don't know: We will quote it as an option so you can see the cost and decide with the figures in front of you.
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Do you want a replacement vehicle while yours is repaired (F.A.Q. 20)?
Body shop delays in Quebec now run weeks, not days. This endorsement usually costs less per year than four days of rental.
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Do you ever drive a vehicle you do not own (F.A.Q. 27)?
Rentals and borrowed cars are not automatically covered for damage to that vehicle. This endorsement is what lets you decline the counter coverage at the rental desk.
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Have you had any insurance claim in the last 6 years?
Insurers pull your claims history from the industry database regardless of what you declare. Declaring it yourself is what keeps the quote accurate and protects you: an omission is a misrepresentation, and under article 2408 of the Civil Code of Quebec it can void the policy at claim time.
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Date of loss
Type of loss
Amount paid by the insurer
The size of the claim matters more than the count. Two small claims rate very differently from one large one.
If they don't know: We will quote on the range shown in the industry database, which may be higher than what you recall.
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Were you held responsible?
What has been done to prevent it happening again?
A corrective measure you can describe, a replaced water heater or a new backwater valve, often moves an insurer from declining to accepting.
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Are you insured right now?
Continuous coverage is one of the strongest rating credits there is. A gap of even a few weeks moves most insurers to a higher tier.
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Current insurer
Policy number
If they don't know: We can work without it, but we will need your declaration page before binding.
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Renewal date
We quote to line up with your renewal so you are not paying two policies or cancelling mid-term at a short-rate penalty.
If they don't know: We will work from the date on your declaration page once you send it. Until then we cannot guarantee the quoted premium will still be available.
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How long with that insurer?
Has an insurer ever cancelled, refused or declined to renew you?
This is a question we are required to ask and you are required to answer accurately. A cancellation for non-payment is workable; hiding one is not, because the insurer will find it and can void the contract.
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What made you shop around?
Attach anything you have on hand
A photo of your current declaration page answers about half of these questions on its own and is the fastest way to get an accurate quote. Photos taken with your phone are fine.
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Your own questions
Anything specific to this client. Marked in the file as asked by you.
A note to your client
Optional. Sits at the top of their first screen.
Personal auto
46of 46 questions selected
Send it
Email address.