Add a vehicle | Strata Insurance Group

First Name(Required)

Last Name(Required)

Email(Required)

Phone Number(Required)

Zip(Required)

Policy Information

Policy Information(Required)

Effective Date(Required)

Vehicle Information

Number of vehicles to add(Required)

Vehicle 1

Vehicle Year(Required)

Vehicle Model(Required)

VIN(Required)

Current Odometer(Required)

Estimated Yearly Mileage(Required)

Ownership(Required)

Primary Driver(Required)

Primary Use(Required)

Anti-theft Features(Required)

Passive restraints(Required)

Anti-lock brakes?(Required)

Daytime running lights?(Required)

Any prior damage to vehicle?(Required)

Vehicle ever used for deliveries?(Required)

Comprehensive deductible(Required)

Collision deductible(Required)

Full glass coverage?(Required)

Agent Name (optional)

Vehicle 2

Vehicle Year(Required)

Vehicle Model(Required)

VIN(Required)

Current Odometer(Required)

Estimated Yearly Mileage(Required)

Ownership(Required)

Primary Driver(Required)

Primary Use(Required)

Anti-theft Features(Required)

Passive restraints(Required)

Anti-lock brakes?(Required)

Daytime running lights?(Required)

Any prior damage to vehicle?(Required)

Vehicle ever used for deliveries?(Required)

Comprehensive deductible(Required)

Collision deductible(Required)

Full glass coverage?(Required)

Agent Name (optional)

Review carefully: This is a solicitation for insurance. Insurance coverage cannot be bound or changed via submission of this online form/application, email, voicemail or facsimile. No binder, insurance policy, change, addition, and/or deletion to insurance coverage goes into effect unless and until confirmed directly with a licensed agent. Note any proposal of insurance we may present to you will be based upon the values developed and exposures to loss disclosed to us on this online form/application and/or in communications with us. All coverages are subject to the terms, conditions and exclusions of the actual policy issued. Not all policies or coverages are available in every state. You also agree to release us from any liability if this information is accidentally viewed by unauthorized persons. We will only use this information for insurance quoting purposes and not distribute to other parties.