Before You Begin: When leaving the quote page to look up a definition you need to use your browsers back arrow button to return to the quote or you will lose whatever information you previously typed.

How do you want the quote sent back to you.
 Email By Fax By phone Mailed

General Information

Your Name
City/town
State
Email
DOB
Phone
Fax
Motorcycle Year
Make/Model
Est. Value
CC's

Years Driving Experience
0-3 yrs 3 but less than 6 yrs 6+ years 6+ yrs and 65 yrs old or more

Yes No
Is bike one Financed
Did You Take Drivers Ed
Are You the Principle Operator of The Bike?
(the one who uses the car the most)
Mandatory Coverage's
All coverage's are listed as "per person/per accident." For example, Part I, bodily Injury is standard at $20,000 per person and $40,000 per accident ($20,000/$40,000). You can increase this coverage under "Optional bodily Injury Increase Limits." To get more of an understanding of how certain coverage's protect you simply click the coverage in blue to bring up an easy to understand Product Definition.

Part I: Bodily Injury

$20,000/$40,000

Part II: Personal Injury Protection(PIP)

$8,000

Part III: Uninsured Motorist
Uninsured and underinsured coverage must be at the same level. If you choose
a higher coverage on one you must choose the same with the other.

Part IV: Damage To Someone Else's Property

$5,000 $10,000 $25,000 $50,000 $100,000

Optional Coverage's
The next coverage's are not mandatory but should be considered anyway especially
if you own a home or any substantial investment or have little health care coverage.

Part V: Optional Bodily Injury Increased Limits

With Guest Without Guest

Part VI: Medical Payments

Part VII: Collision
must pick yes if you have a bank loan or lease attached
Yes No

Part VIIa: Collision Deductible Options

Waive of Deductible charges

Deductible:
$300 $500 $1,000 $2,000

Part VIII: Limited Collision

Yes No

Part IX: Comprehensive(fire, theft, glass)
Say yes if you want Comprehensive or no if you feel you won't need it.

Yes No

Part IXa: Comprehensive Deductible

Deductible:
$300 $500 $1,000 $2,000

Part XII: Underinsured Motorist

[Validation Bot]

SECTION III
Check all applicable for possible discounts. Discounts vary agent to agent.

Completed an approved driver training course?
Member of "AAA"?
Member of Travelers Auto Club?

Safe Driver Insurance Plan
If You Know Your SDIP Step Please Indicate. Otherwise please list below, if possible, any tickets or accidents in the last six years.

PLEASE NOTE: Motorcycle insurance quote's are estimates and although depict a fairly accurate figure, do not represent true cost. Because of the many attributes that determine price an exact figure cannot be given until further information is received(such as a driving record).

Created for Carroll K. Steele Insurance Agency, Inc. by