Personal Information | General Accident

General Accident Insurance Company - Quick Quote

Let's get to know you

First Name

Last Name

Date of Birth

Minimum age requirement is 21 years old

Phone Number *

Carrier *

Ext

Enter main driver’s DP number

Numbers Only

Driver's Licence First Issued Date

Is the insured the main driver?

Yes No

Gender

Male Female

Have you ever been in an accident?

Yes No

*Our estimated insurance quote is for a typical coverage package based on the information that you provided. Additional coverage options may be available. Your actual premium may be higher or lower, depending on the additional information you provide or that we receive from other sources (such as the Claims Database), the coverages, limits and deductibles you choose, as well as any applicable discounts. Bundling coverages may also impact the rate.