Insurance Services LLC

Providing: Freight Insurance Shipping Insurance
Cargo Insurance Moving Insurance Transit Insurance
Package Insurance Shipment Insurance

Questions? Call Us!
 1-800-297-7550
1-800-541-0700 (INTL)

M-F 8am-5pm PST

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Coverage Direct from the Leading "A+" Rated Insurers

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Shipping

Insurance Order Form

 

Frequent Shipper Policy Quote Request

 

 Shipment Origin and Destination

How many shipments do you insure each month? 

Who are you currently insuring with:
           From:

               To:

 Mode of Transport

 Carrier Name

Estimated Ship Date

 

 

Package Count

Package Type

Description of Items
 
 

Packaging:

   Insured Value:
    (Average Value of
each Shipment)

$

 

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How You Determined the Value

Comments/Additional Info

Name/Company

Contact Info

First/Last:

 

 E-mail:

 

Company:

 

 Phone:

 

Have you received a Quote from Anyone else?  If Yes, please enter it below:

Quote Amount:

$

For:

From:

 

Please let us know other quotes you have received.
Our underwriter can beat any insurer's rate
& our insurer's coverage options are the broadest available anywhere and have the highest industry ratings (A+) for financial strength and claims payment.

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