Compare Commercial Vehicle Insurance Now | Best Van Insurance Quotes Motor Insurance - Commercial Vehicle We would love to assist you! Please fill out this form and we will get in touch with you shortly. Company InformationCompany Name* Company ROC / UEN* Nature of Business* Does your business fall under the following list?*NoneTowing Recovery ServicesMotor Workshop / Motor TraderCar Rental / Leasing CoChemical / Gas CarrierExplosive / Inflammable Liquid CarrierCourier ServiceHawker / Stall Owner / Canteem OperatorLPG DistributorFreight Forwarding CoTransportation CoBuidling / Renovation ContractingInsured's Status*Please SelectIndividualCorporateContact Persona* Contact Number* Email address* Driver's ParticularFull Name* NRIC/FIN* Nationality*Please SelectSingaporeanSingapore PREmployment PassS PassWork PermitForeignerDate of Birth (dd/mm/yyyy)* DD dash MM dash YYYY Pass Date of Driving Licence (dd/mm/yyyy)* DD dash MM dash YYYY Gender*Please SelectMaleFemaleMarital Status*Please SelectSingleMarriedDivorced/SeparatedWidowed/WidowerRelationship to Registered Owner* Vehicle and Insurance DetailsVehicle Registration Number* Vehicle Type*Please SelectAmbulanceBusCarrierCement MixerChemical / Gas CarrierConcrete PumpExplosive / Inflammable LiquidForkliftGarbage TruckLorry + BoxMobile CraneOil / Gas TankerOtherPanel VanPlatform Truck (Self – Loader)Prime MoverRefrigerated VehicleRoad RollerRoad SweeperSingle CabinStandard Lorry with CraneStandard Lorry with Hood / CanopyStandard Lorry with TailgateStandard Lorry / PickupStandard VanTankerTipper Lorry / Dump TruckTow TruckTractorTrailerTwin CabinWater SprayerWater TankerFinancing Company* Type of Coverage*Please SelectComprehensiveThird - Party Fire & TheftThird - Party OnlyNCD Upon Renewal*0%10%15%20% (1 year)20% (>1 year)Current Insurer*Please SelectNew / Additional VehicleACE InsuranceAVIVAAXA InsuranceChartisChina TaipingDirect AsiaEQ InsuranceEtiqa InsuranceFederal InsuranceFirst Capital InsuranceHSBC InsuranceIndia InternationalLiberty InsuranceLonpac InsuranceMayban General AssuranceMitsui Sumitomo InsuranceMSIG InsuranceNipponkoaNTUC Income InsuranceOverseas Assurance CorporationQBE InsuranceRoyal & Sun Alliance InsuranceSHC CapitalSompo JapanTenet InsuranceTokio Marine InsuranceUnited Overseas InsuranceOther (Not applicable)Current Insurer Renewal Premium* Coverage Comence Date (dd/mm/yyyy)* DD dash MM dash YYYY Insurance Expiry Date (dd/mm/yyyy)* DD dash MM dash YYYY Usage of Vehicle*Please SelectFreight & TransportGas SupplierLimousine CarOthersOwn Goods / PassengerRental VehicleTuition PurposeAny Claims in the last 3 years*Please SelectNoYesNumber of Claims*Please Select123Date of First Accident (dd/mm/yyyy)* DD dash MM dash YYYY Detail of First Accident* Own Damage Claim (Please indicate exact amount)* 3rd Party Claim (Please indicate exact amount)* Date of Second Accident (dd/mm/yyyy)* DD dash MM dash YYYY Detail of Second Accident* Own Damage Claim (Please indicate exact amount)* 3rd Party Claim (Please indicate exact amount)* Date of Third Accident (dd/mm/yyyy)* DD dash MM dash YYYY Detail of Third Accident* Own Damage Claim (Please indicate exact amount)* 3rd Party Claim (Please indicate exact amount)* How did you know of OneMotorSG.com?*Please SelectOnline search (Google, Yahoo, Bing)Online advertisementWord of mouth (Friends' recommendation)Advertisement (Flyer)EmailOthersAre you urgent to get your motor insurance?*Please SelectYesNoAny Special Request?*Agreement* I agree to disclose the above information and my personal particulars to OneMotorsg.com for the purpose of obtaining motor insurance quotations Δ