RV Insurance Quote Worksheet

The RV

Year, make & model

Length (ft)

RV type

VIN / serial number

Value / purchase price

Own / finance / lease

License plate / state

Upgrades and attached equipment — solar, awnings, satellite, levelers (item and value)

Use, storage & coverage

How is it used?

Days used per year

Miles per year (if driven)

Where do you travel (states / Canada / Mexico)?

Stored where when not in use?

Seasonal site / campground (name, city)

Drivers (motorhome) — names

Tow vehicle (trailers) — year / make / model

Extras Full-timer liability wanted Personal contents wanted Pet(s) travel with us

High-value contents kept in the RV (item and value)

Liability limits wanted

Deductibles wanted

Current insurer

Current premium

Loan / lienholder?

Renewal date

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

Where should we send your quote?

First name

Last name

Email

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.

I agree to be contacted by phone, text, or email about this quote request. Consent is not a condition of purchase. Message/data rates may apply. See our Privacy Policy.

The RV

Use, storage & coverage

Where should we send your quote?

Worksheet received.