626-793-3800

Bus - Quick Quote

Please fill in this form as completely as possible. Any fields left blank may cause a delay in the quoting process. If you have any questions, do not hesitate to contact us directly. This form may also be requested via fax or email. Driver and Vehicle lists may be faxed separately. Additional Drivers and Vehicles can be added over the phone or by separate fax or email. Thank you for choosing Hoya!

Company Information

Company Name
Required

First Name
Required

Last Name
Required

Primary Phone Number
Required

Alternate Phone Number
Optional

Fax Number
Optional

E-Mail Address
Required

Street
Required

City
Required

State
Required

select

ZIP / Postal Code
Required

Garaging Address (if different)
Optional

FMCSA #
Optional

Effective Date
Optional

Open the calendar popup.

Years In Business
Optional

Owner Name (First & Last)
Optional

Type of Business
Optional

Federal ID Number
Required

Destinations
Required

Radius of Operation
Required

Do You Have Any Losses In The Last 3 Years?
Required

Yes

Current Insurance Carrier
Optional

Policy Number
Optional

Annual Premium
Optional

Previous Year Insurance Carrier Name
Optional

Previous Year Policy Number
Optional

Previous Year Annual Premium
Optional

2nd Previous Year Insurance Carrier Name
Optional

2nd Previous Year Policy Number
Optional

2nd Previous Year Annual Premium
Optional

Vehicle #1 Model Year
Optional

Vehicle #1 Make/Model
Optional

Vehicle #1 VIN #
Optional

Vehicle #1 License Plate #
Optional

Vehicle #1 Annual Mileage
Optional

Vehicle #1 Seating Capacity
Optional

Vehicle #1 Value When New
Optional

Vehicle #2 Model Year
Optional

Vehicle #2 Make/Model
Optional

Vehicle #2 VIN #
Optional

Vehicle #2 License Plate #
Optional

Vehicle #2 Annual Mileage
Optional

Vehicle #2 Seating Capacity
Optional

Vehicle #2 Value When New
Optional

Vehicle #3 Model Year
Optional

Vehicle #3 Make/Model
Optional

Vehicle #3 VIN #
Optional

Vehicle #3 License Plate #
Optional

Vehicle #3 Annual Mileage
Optional

Vehicle #3 Seating Capacity
Optional

Vehicle #3 Value When New
Optional

Comprehensive Deductible
Optional

select

Driver #1 First Name
Optional

Driver #1 Last Name
Optional

Driver #1 Date of Birth
Optional

Open the calendar popup.

Driver #1 License Number
Optional

Driver #1 License State
Optional

Driver #1 License Class
Optional

Driver #1 Commercial License Years of Experience
Optional

Driver #1 Years Experience with Current Vehicle
Optional

Driver #2 First Name
Optional

Driver #2 Last Name
Optional

Driver #2 Date of Birth
Optional

Open the calendar popup.

Driver #2 License Number
Optional

Driver #2 License State
Optional

Driver #2 License Class
Optional

Driver #2 Commercial License Years of Experience
Optional

Driver #2 Years Experience with Current Vehicle
Optional

Driver #3 First Name
Optional

Driver #3 Last Name
Optional

Driver #3 Date of Birth
Optional

Open the calendar popup.

Driver #3 License number
Optional

Driver #3 License State
Optional

Driver #3 License Class
Optional

Driver #3 Commercial License Years of Experience
Optional

Driver #3 Years Experience with Current Vehicle
Optional

Do You Have Additional Drivers or Vehicles To Add?
Required

select

Additional Comments
Optional

Enter Validation Code

Required

Important Notice
Any submissions or payments made via this website do not constitute a binding agreement to your policy or coverages. Changes and payments to policies are not effective or binding until you, or any party involved, receive official notice from either your insurance agent, or your insurance company. If you have any questions, please feel free to contact us.

Per the terms of our online privacy policy we will not resell your information to any third-party.

Insurance Websites Designed and Hosted by Insurance Website Builder

Hoya Insurance Agency
2341 Huntington Drive
San Marino, CA 91108
626-793-3800