Commercial Vehicle Quotation Form

QUOTATION FORM - COMMERCIAL VEHICLE INSURANCE

Applicant Information

* Indicates required field

Registered Company's Name *

Contact Person *

Contact Number *

Email *

Nature of Business *

Vehicle Details

Kindly provide either your LTA access code or your vehicle details so we can assist with your motor insurance quotation.

LTA Access Code Link:

https://vrl.lta.gov.sg/lta/vrl/action/pubfunc?ID=EnquireTransferFee

Need help retrieving your LTA Access Code?

Click here for the guide.

Vehicle Number *

Year of Manufacture : (YYYY) *

Make & Model (As Per LTA) : *

Body Type : *

Turbo Engine : *

Parallel Import : *

LTA Access Code *

Original Registration Date : (DD MMM YYYY) *

Vehicle Type : *

Accessories (if any) : *

Off-Peak : *

Private Hire : *

Insurance Details

Renewal Date : (DD MMM YYYY) *

Type of Coverage *

Claims Experience For The Past 3 Years *

Own Damage Claim Amount, if any (S$) : *

Existing Insurer *

NCD Upon Renewal : *

If yes, Date of Claim: (DD/MM/YYYY) *

Third Party Damage Claim Amount, if any (S$): *

Remarks (if any) *

Granting Safe Harbour Permission to Contact Me *

I consent Safe Harbour to contact me

Submit