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Torq Insurance Agency Quote Application

Enter your DOT number to auto-fill your carrier information. Complete all sections for an accurate quote.

1
Carrier
2
Coverage
3
Equipment
4
Documents
5
Submit
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Carrier Information

Enter DOT number to auto-fill your details


Contact Information

Business Details
🚀 New venture? Enter 0

Physical Address
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Coverage Information

Select coverages and provide operational details

Coverage Requested *
Coverage Type
Insurance Limit
Desired Deductible

Commodities Hauled *
Commodity
Hauled %
Ave Load Value
Max Load Value

Operation Radius
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Equipment & Drivers

List all drivers and units to be insured

Drivers *
Name
License Number
State
Date of Birth
CDL

Trucks Tractors Vehicles *
VIN — Enter first, rest auto-fills ✨
Year
Make
Model
Class
Body Type
Value ($)
Owned / Leased

Trailers
VIN — Enter first, rest auto-fills ✨
Year
Make
Model
Trailer Type
Value ($)
Owned / Leased

Electronic Logging Device (ELD) REQUIRED

Some of our carrier markets including Cover Whale and Nirvana require or factor in ELD usage as part of their quoting process. Please select your ELD status below so we can match you with the right markets.

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Documents

Upload your documents or let us contact you — we respond within 24 hours

We move fast — during business hours we typically respond within the hour!
Upload your documents now for the fastest quote. If submitted after hours, we'll be in touch first thing the next business day. If you need help obtaining any documents, we've got you — we'll guide you through it.
Loss Runs REQUIRED — 3 YRS MIN • 5 YRS PREFERRED

Loss runs show your claims history from your current or previous carrier. 3 years minimum, 5 years preferred — the more history we have, the better we can work on your behalf. Your carrier can provide these and we can help if needed. New venture with no prior insurance? No loss runs needed — just select the option below.


IFTA Documents REQUIRED — LAST 4 QUARTERS

Your last 4 quarters of IFTA reports help verify your mileage and operating states. As a licensed carrier you already have these — check with your bookkeeper, accountant, or carrier portal. Brand new authority and haven't filed IFTA yet? No problem — just select the option below.


CDL Copies REQUIRED — ALL DRIVERS

We need a copy of the CDL for every driver listed on your policy. Underwriters require this to complete the quoting process. Upload all driver CDLs here or let us know and we'll reach out to collect them.


Current Insurance Declarations Page OPTIONAL

Your current dec page lets us see exactly what coverage you have so we can evaluate it and place you with like or better coverage — making sure nothing falls through the cracks and you're fully protected.

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Authorization & Submit

Review authorization and submit your application

MVR Authorization REQUIRED — MUST CHECK TO SUBMIT

Company Requesting Report: Torq Insurance Agency LLC  |  Email: mike@torqinsurance.com  |  Phone: (720) 841-2767

MOTOR VEHICLE RECORD (MVR) & CONSUMER REPORT
DISCLOSURE AND AUTHORIZATION


DISCLOSURE

In connection with your application for commercial trucking insurance, Torq Insurance Agency LLC ("Company") may procure one or more consumer reports and/or investigative consumer reports about you and any drivers associated with your commercial motor vehicle operation. These reports are obtained for insurance underwriting, risk assessment, and eligibility determination purposes.


Reports may be obtained through any one or more of the following accredited consumer reporting agencies (as defined under the Fair Credit Reporting Act, 15 U.S.C. § 1681 et seq.):


Samba Safety, Inc. | sambasafety.com
MVRcheck.com | mvrcheck.com
Inteliifi, Inc. | inteliifi.com


Consumer reports obtained may include, but are not limited to: motor vehicle records (MVR), commercial driver's license (CDL) status and history, FMCSA Pre-Employment Screening Program (PSP) records, driving violations, accidents, license suspensions or revocations, criminal and county court traffic records, identity verification, and other safety-related information obtained from public records or other lawful sources.


You have the right, upon written request made within a reasonable time, to request disclosure of the nature and scope of any investigative consumer report. You may also contact the consumer reporting agencies listed above directly to obtain a copy of your report and to dispute any inaccurate information.


AUTHORIZATION


By electronically acknowledging this authorization below, I, the undersigned applicant, acting on my own behalf and as an authorized representative of the commercial motor carrier named in this application, hereby voluntarily authorize and consent to the following:


1. Individual Consent: I authorize Torq Insurance Agency LLC and its authorized agents, underwriters, and carrier partners to obtain my motor vehicle records and consumer reports from any of the consumer reporting agencies listed above, now and throughout the duration of this application and any resulting insurance policy.


2. Employer/Operator Consent on Behalf of Drivers: I certify that I am an authorized representative of the named insured and that I have obtained written or verbal consent from each driver listed on this application to authorize the procurement of their motor vehicle records and consumer reports for insurance underwriting purposes. I understand that each driver's information will be used solely for risk assessment and policy underwriting.


3. Acknowledgment of Rights: I acknowledge that I and each listed driver have the right to request a copy of any consumer report obtained and to dispute any inaccurate or incomplete information directly with the applicable consumer reporting agency.


4. Accuracy of Information: I certify that all information provided in this application is true, accurate, and complete to the best of my knowledge. I understand that any misrepresentation may result in denial of coverage or cancellation of any issued policy.


5. Electronic Consent: I understand and agree that my electronic acknowledgment of this authorization, by checking the confirmation box below, constitutes a valid and legally binding electronic signature under the Electronic Signatures in Global and National Commerce Act (E-SIGN Act, 15 U.S.C. § 7001 et seq.) and applicable state electronic signature laws, and carries the same legal effect as a handwritten signature.


This authorization shall remain in effect for the duration of the insurance underwriting process and any resulting policy period, unless revoked in writing.


Torq Insurance Agency LLC
info@torqinsurance.com | (720) 841-2767


📄 Current Insurance Declarations Page

A TORQ representative will be in contact with you to gather your current policy declarations documents.

⛽ International Fuel Tax Agreements (IFTA)

A TORQ representative will be in contact with you to gather IFTA documents.

📊 Loss Runs

A TORQ representative will be in contact with you to gather Loss Run documents.

By submitting this form, you agree to receive text messages from TORQ Insurance Agency LLC related to your insurance quote, policy updates, and other relevant information. Message and data rates may apply. Message frequency varies. Reply STOP to unsubscribe. Reply HELP for help.

Application Submitted!

Thank you for choosing Torq Insurance Agency! Your application has been received and our team will be in touch shortly. During business hours we typically respond within the hour — if submitted after hours, we'll reach out first thing the next business day.

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