High-Risk Auto Insurance – Kenny Insurance Brokers Ltd

High Risk Auto Insurance

Accidents? Tickets? DUI? Payment problems? No problem! Kenny Insurance is one of the leading brokerages to offer high risk or non standard auto insurance. If you are having trouble getting your car covered, contact us today! We will find a solution in just a matter of minutes!

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High-Risk Auto Insurance Quote Request

Please complete the following to obtain a thorough and comprehensive auto insurance quote. A broker will be in contact within 2 hours of your submission if during office hours and next day if after hours:
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Date
MM slash DD slash YYYY
Driver Information
Name*
First Last
Postal Code
Email*
Phone Number
Date of Birth*
Marital Status*
License Level
Date First Licensed
YYYY slash MM slash DD
Vehicle Information
Year*
Make of Vehicle*
Model*
Use of Vehicle*
Do you have Winter Tires on the vehicle?*
Add Second Vehicle*
Second Vehicle Information
Year
Make of Vehicle
Model
Use of Vehicle
Do you have Winter Tires on the vehicle?*
Driver History
Have you had auto insurance previously?*
Years with Insurance
Have you had any tickets in the last 3 years?*
Number of Minor Tickets
Number of Major or Serious Tickets
Have you had any accidents in the last 6 years?*
Number of Accidents
Date of accident #1
MM slash DD slash YYYY
Date of accident #2
MM slash DD slash YYYY
Date of accident #3
MM slash DD slash YYYY
Date of accident #4
MM slash DD slash YYYY
Any cancellations for Non-Payment in the last 3 years?
How many cancellations?
Date of Cancellation 1
MM slash DD slash YYYY
Date of Cancellation 2
MM slash DD slash YYYY
Date of Cancellation 3
MM slash DD slash YYYY
Did you take a drivers training course?*
More than one driver?*
Second Driver History
Have they had auto insurance previously?
Years with Insurance
Have they had any tickets in the last 3 years?
Number of Minor Tickets
Number of Major or Serious Tickets
Have they had any accidents in the last 6 years?
Number of Accidents
Date of accident #1
MM slash DD slash YYYY
Date of accident #2
MM slash DD slash YYYY
Date of accident #3
MM slash DD slash YYYY
Date of accident #4
MM slash DD slash YYYY
Have they taken a drivers training course?*
Comments
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High Risk Auto Insurance

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FILL OUT THE FORM BELOW

High-Risk Auto Insurance Quote Request

Driver Information

Vehicle Information

Second Vehicle Information

Driver History

Second Driver History

Comments