Get A Best Business Insurance Quote Today: Quick & Simple Insurance : Workers’ Comp Insurance , BOP Insurance , Commercial Auto Insurance, General Liability Insurance , Cyber Insurance & More!

Get Free Best Business Insurance Quotes

Please fill up the below form to get the free Quotes.

– Step 1 of 8

What does your business do? *

What state is your business located in? *

Where does your business operate?

Home Only
Home And Client Locations
Own Or Rent Space

Select the statement(s) that apply to your business

I have employees and/or hire professionals or contractors.
I collect or store sensitive customer data (ex: financial info, personal identification, tax returns, etc.).
I have clients who require me to meet minimum insurance limits.

How long ago did you establish your business?

Do you have 3 or more years of professional experience in your industry?

What is the legal structure of your business? *

Please describe the legal structure *

Will you be the policyholder?

Yes i am purchasing from my own business
No i am acting on behalf of business owner

Acting on behalf of the policyholder

Policyholder contact details

Name *

First

Last

Email *

Phone

Keep the policyholder updated on the latest small biz news, Simply Business updates, offers, and promotions. I understand I can unsubscribe at any time.

Your contact details

Add contact info if you are acting on the behalf of policyholder.

Name *

First

Last

Email *

Phone

How many employees do you have?

Please include yourself and other owners, but not subcontractors.

How many owners does your business have?

You indicated that including yourself there is at least one other employee. How many of these are owners of the business.

What is your estimated revenue over the next 12 months?

This typically may include gross sales, commissions, and fees for your professional services or goods
sold.

What is your estimated total payroll over the next 12 months?

Estimate the total amount that you will pay over the next 12 months for:
1 .Yourself
2. Full-time employees
3. Part-time employees
Temporary employees (W2) For Owner only businesses, please enter your yearly salary as your payroll.

Do not include subcontractors (1099). Please note the payroll may be adjusted to meet state requirements.

Please give us some details about your business

Auto repair or gas stations
Auto, boat, or utility vehicle parts and dealers
Convenience stores
Department stores
Electronic cigarette or vapor stores
Farming or gardening supply stores
Grocery stores
Gun, firearm, or ammunition stores
Health food, vitamin, or drug stores
Liquor stores
Pet or pet supply stores
Restaurants, bars, or nightclubs
Tobacco stores

Do you sell products under your own label?

Do you manufacture those products yourself?

Do you sell any of your products online?

What percentage of your revenue comes from online sales?

You or your business are properly and currently licensed as per your state's applicable rules and statutes.

Agree
Disagree

Please tell us about your previous coverage

Yes i am currently covered
No i am not covered

Do you currently have an insurance policy in effect for the coverage you have requested?

Have you, your business, or anyone to whom this insurance would apply had any claim made against them in the past 5 years, or earlier if still pending, or had any circumstances that may give rise to a claim whether insured or not?

How many claims has your business had in the last 5 years?

During the past three (3) years, have any claims, administrative or regulatory proceedings, or criminal or civil charges, hearings, demands or lawsuits involving employment related matters been made against the applicant or any entity or person proposed for this insurance, whether or not insured?

Has an insurance carrier ever cancelled or declined to renew your business insurance policy?

Please select the reason for that cancellation or declination:

Do any of your clients require a waiver of subrogation endorsement?

Customers typically include this coverage at their clients’ request. With the waiver, your insurance company agrees to cover all damages in the event of a loss and no longer has the right to recover costs from your client’s insurance.

Do you need to add your customers or people you do business with to your policy as 'additional insureds'?

We have added an additional insured endorsement to your quote!

Do you need to add your additional insureds as primary and noncontributory to your policy?

If your carrier has not included Terrorism Risk Insurance Act coverage as part of their standard policy, would you like to purchase this coverage as an add on?

I hereby decline to purchase terrorism coverage for certified acts of terrorism if this is not included as part of my standard policy. In this event, I understand that I have no coverage for losses resulting from certified acts of terrorism. *

I confirm

When would you like your policy coverage to start?

Business name *

This is the name that will appear on your policy. If you are a sole proprietor and doing business under your own name, please enter your name below.

Find address *

Address Line 1

City

State

Website / URL

I agree to occasionally receive automated text messages from or on behalf of Simply Business to the phone number(s) provided in this form. Messages may include payment and policy renewal reminders and promotional content. I understand that I do not need to consent to make a purchase. *

Yes, I agree

Don’t feel like filling in a form?
Skip ahead of the line and call us toll-free: 888-540-7374