Get an Insurance Quote - Marvin Johnson & Associates, Inc.

Company Name*

Your Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Email*

Phone Number*

Detailed Information

DOT Number*

Please supply your DOT number so we can accurately quote your insurance request.

Requested Coverages*

Bobtail
Physical Damage
Auto Liability
Cargo
Workers Comp

Check all of the boxes below that you would like for MJAI to quote.

Equipment Type*

Tractor/Trailer
Dump Truck
Straight Truck
Cargo Van/Hotshot

Please select from the list all of the Equipment Types that apply to your business.

Commodities*

Van Freight
Refrigerated Freight
Flatbed Freight
Other

Please select from the list all of the Commodities that apply to your business.

Other Commodities*

Please be specific.

Number of Units*

1-5
6-10
11+

Please select the number that best describes your current amount of units.

Years in Business*

0-1
1-2
2-3
3-5

Additional Information

How did you find us?*

Please check all of the methods which you have heard about MJAI. This will help us track our future advertising plans to better serve our customers.

Please describe how you found MJAI.*

Thank You

Thank you for the opportunity to contact you in regards to your insurance needs. During our follow up phone call to obtain a firm quote please have the following information available: Driver Information ( Name, DOB, DLN #, Age, SS #, Violations ), Equipment Information ( Year, Make, Vin #, Value ), and Prior year loss information.

This field is for validation purposes and should be left unchanged.

Your Insurance Quote

INSURANCE DESIGNED TO MEET YOUR NEEDS.

When it comes to trucking insurance, you need more than just coverage. You need a trusted advisor. Our insurance advisors will custom-design an insurance program that is tailored to meet your specific needs.

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