Motorcycle Insurance Quote Worksheet

The rider

Primary rider — full name

Date of birth

Motorcycle endorsement? Since when

Years riding

Other riders of this bike

Rider background Safety course completed (MSF or similar) Licensed for 3+ years Member of a rider association / club

The bike, use & coverage

Year, make & model

Engine size (cc)

VIN (full, if available)

Value / purchase price

Own / finance / lease

Modifications and accessories (custom paint, exhaust, chrome, bags — item and value)

Main use

Miles per year

Months ridden per year

Stored where at night?

Is this a second / seasonal bike?

Liability limits wanted

Deductibles wanted

Current insurer

Current premium

Renewal date

Bundle with auto?

Accidents, tickets or claims in the last 5 years — who, what and when

Where should we send your quote?

First name

Last name

Phone

This worksheet asks for dates of birth and driver's license details because carriers require them to prepare an accurate quote. Never enter a Social Security number — we will never ask for one here. Your information is used only to prepare your quote.

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Worksheet received.

Thank you — a licensed insurance agent will review your information and reach out, typically within one business day. Sending this worksheet does not start, change, or bind any coverage.

The rider

The bike, use & coverage

Where should we send your quote?

Worksheet received.