Staebler Insurance Brokers

The Best Insurance Is An Insurance Broker

Travel Trailer Insurance

Name:

Email Address:

Address:

City:

Province:

Postal Code:

Phone Number:

Year of Trailer:

Make and Model:

Length:

Is trailer parked year round at a trailer site:

Yes

If yes, please provide the name of the trailer park :

Amount of insurance required on trailer:

Amount of insurance required on contents:

Any claims in the last 6 years?

Disclaimer:

H.L. Staebler Company Limited is not responsible for instructions not received and acknowledged by a confirmation via e-mail or phone call. By submitting this form, you acknowledge that you are the policyholder and the events described on this form are truthful. Only the person named as the insured in the policy documents can submit a claim report on this policy. All policy terms and conditions apply, subject to policy status at time of submission.