Fleet – Mobile
Insured Party
Business Entity Name
UEN
Contact Person
Email
Contact Number
Insurer
Getting quotes for
New Fleet
Existing Fleet
Current Insurer for Existing Fleet
*
New Fleet Vehicles
Make & Model
No. of Vehicles
plus1
Add
minus1
Remove
Information for Quotes
List of Fleet Vehicles
*
Drop a file here or click to upload
Choose File
Maximum file size: 25MB
Do you have the past 3 years claim statistics?
Yes
No
Subsequently, you will be asked to provide the following:
1. Past 3 years claim statistics
2. ACRA report
Anything you would like us to know?
Personal Data Consent
I agree to be contacted and consent to the collection, use and disclosure of my personal data for the purposes as stated in the
Data Protection Notice
.
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