<Touchstone Insurance

Here for you today & tomorrow.

Who We Are Report A Claim Contact Partners/Friends


Motorcycle / ATV

At Touchstone Insurance Inc. we understand the unique challenges that come with motorcycle insurance because we're riders ourselves. This means you won't have to worry about explaining the differences between a GSX-R 1000, a Shadow 1100, or a CR250. We already know!

Form Navigation:

Top
Personal Information
Insurance Information
Motorcycle Information
Coverage
Additional Comments
Consent

Fields marked with ( * ) are required.
Personal Information *First name:
*Last name:
*Address:
*City:
*Postal Code:
Main Phone:
Ext.
*E-Mail:
*Date of Birth:
How did you hear about us?
Referral I am a current client Media Ad Beyond.ca Yellowpages.ca Google Other
Please let us know who referred you so we can thank them:
Please provide some additional details:
Insurance Information *Do you have a class six (motorcycle) license? Yes No
*Have you taken a Rider Training course? Yes No
If so, when:
*Any traffic tickets in the past three years? Yes No
If so, please state the charge (speeding, red light, etc.) and approximate date:
*Any accidents or claims of any kind in the past six years? Yes No
If so, please state a brief description and approximate date:
*Have you had your license suspended in the past five years? Yes No
Motorcycle Information Year:
Make:
Model:
Engine Size (cc):
Approximate Date of Purchase:
Current Value/Purchase Price:
Coverage Liability: $1,000,000 $2,000,000
Collision: Yes No
Comprehensive/Specific Perils: Yes No
Additional Comments


Thank you for taking the time to fill out this form. Select the "Submit" button below and we will contact you by the next business day. Our quote will include the coverages you selected. We may include the cost of popular optional coverages with our quotation.

We are sorry, but we are unable to provide you with a quote at this time. Please contact us if you have any other inquiries.

I changed my mind, show me the form again (Don't worry your response hasn't been deleted)