California Star Insurance Service Inc.
Request a Quote!
Call Us: 805-266-7971
50 Years
Menu
  • Home
  • About
  • Personal
    • ATV
    • Auto Insurance
    • Boat & Watercraft
    • Collector Car
    • Condo Insurance
    • Earthquake
    • Flood Insurance
    • Homeowners Insurance
    • Manufactured / Mobile Home
    • Motor Home
    • Motorcycle Insurance
    • Personal Umbrella
    • Recreational Vehicle
    • Renters Insurance
    • SR 22
  • Business
    • Apartment Building Owners
    • Bonds
    • Business Owners Policy (BOP)
    • Commercial Auto
    • General Liability
    • Retail Stores
    • Special Event Insurance
  • Quote Request
    • Apartment Building Owners
    • Auto Insurance
    • Boat & Watercraft
    • Bonds
    • Business Owners Policy (BOP)
    • Commercial Auto
    • Condo Insurance
    • Earthquake
    • Flood Insurance
    • General Liability
    • Homeowners Insurance
    • Jewelry Floaters
    • Manufactured / Mobile Home
    • Motorcycle Insurance
    • Personal Umbrella
    • Recreational Vehicle
    • Renters Insurance
  • Support
    • Payments & Claims
    • Add Driver Request Form
    • Add a Vehicle Form
    • Auto ID Card Request
    • Certificate of Insurance Request
    • Change of Address Form
    • Policy Change Request
    • Questions & Comments
    • Remove Driver Request Form
    • Remove Vehicle Request Form
  • Resources
    • Mobile Responsive Version
    • Our Companies
    • Blog
    • Helpful Links
    • Common Insurance Terms
    • Privacy Policy Statement
    • Site Map
    • Refer a Friend
    • Partners
  • Contact
  • Google Plus Google Plus
  • Facebook Facebook
  • Twitter Twitter
  • Yelp Yelp
  • Google Places Google Places
  • Blog Blog
  • Home Page
  • Secure Form

Secure Add a Vehicle Request Form

 
Your Name:
First Last
Policy Number:

Vehicle Information

Vehicle 1

Vehicle 1 Year:
Vehicle 1 Make:
Vehicle 1 Model:
Vehicle 1 VIN:
Primary Driver:
Current Odometer:
Estimated Yearly Mileage:
Ownership:
Primary Use:
Anti Theft Features:
Passive Restraints:
Anti-Lock Brakes:
Daytime Running Lights:
Any Prior Damage to Vehicle?
Vehicle Ever Used for Deliveries?
Comprehensive Deductible:
Collision Deductible:
Full Glass Coverage?

Vehicle 2

Vehicle 2 Year:
Vehicle 2 Make:
Vehicle 2 Model:
Vehicle 2 VIN:
Primary Driver:
Current Odometer:
Estimated Yearly Mileage:
Ownership:
Primary Use:
Anti Theft Features:
Passive Restraints:
Anti-Lock Brakes:
Daytime Running Lights:
Any Prior Damage to Vehicle?
Vehicle Ever Used for Deliveries?
Comprehensive Deductible:
Collision Deductible:
Full Glass Coverage?

Vehicle 3

Vehicle 3 Year:
Vehicle 3 Make:
Vehicle 3 Model:
Vehicle 3 VIN:
Primary Driver:
Current Odometer:
Estimated Yearly Mileage:
Ownership:
Primary Use:
Anti Theft Features:
Passive Restraints:
Anti-Lock Brakes:
Daytime Running Lights:
Any Prior Damage to Vehicle?
Vehicle Ever Used for Deliveries?
Comprehensive Deductible:
Collision Deductible:
Full Glass Coverage?

Vehicle 4

Vehicle 4 Year:
Vehicle 4 Make:
Vehicle 4 Model:
Vehicle 4 VIN:
Primary Driver:
Current Odometer:
Estimated Yearly Mileage:
Ownership:
Primary Use:
Anti Theft Features:
Passive Restraints:
Anti-Lock Brakes:
Daytime Running Lights:
Any Prior Damage to Vehicle?
Vehicle Ever Used for Deliveries?
Comprehensive Deductible:
Collision Deductible:
Full Glass Coverage?

Vehicle 5

Vehicle 5 Year:
Vehicle 5 Make:
Vehicle 5 Model:
Vehicle 5 VIN:
Primary Driver:
Current Odometer:
Estimated Yearly Mileage:
Ownership:
Primary Use:
Anti Theft Features:
Passive Restraints:
Anti-Lock Brakes:
Daytime Running Lights:
Any Prior Damage to Vehicle?
Vehicle Ever Used for Deliveries?
Comprehensive Deductible:
Collision Deductible:
Full Glass Coverage?

Remove Vehicle Option

Vehicle 1

Vehicle 1 Year:
Vehicle 1 Make:
Vehicle 1 Model:
Vehicle 1 VIN:

Vehicle 2

Vehicle 2 Year:
Vehicle 2 Make:
Vehicle 2 Model:
Vehicle 2 VIN:

Vehicle 3

Vehicle 3 Year:
Vehicle 3 Make:
Vehicle 3 Model:
Vehicle 3 VIN:

Vehicle 4

Vehicle 4 Year:
Vehicle 4 Make:
Vehicle 4 Model:
Vehicle 4 VIN:

Vehicle 5

Vehicle 5 Year:
Vehicle 5 Make:
Vehicle 5 Model:
Vehicle 5 VIN:
Website Disclaimer - Review Carefully:

This information is not an offer to sell insurance. Insurance coverage cannot be bound or changed via submission of this online form/application, e-mail, voice mail 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.
  • Navigation
  • Home
  • About
  • Quote Request
  • Support
  • Resources
  • Payments & Claims
  • Our Companies
  • Blog
  • Contact
  • Privacy Policy Statement
  • Personal Lines
  • Auto Insurance
  • Homeowners Insurance
  • Motorcycle Insurance
  • Boat & Watercraft
  • Flood Insurance
  • Renters Insurance
  • Recreational Vehicle
  • SR 22
  • Commercial Lines
  • Business Owners Policy (BOP)
  • General Liability
  • Commercial Auto
  • Bonds
  • Special Event Insurance
  • Retail Stores
  • Quote Request Forms
  • Apartment Building Owners
  • Auto Insurance
  • Boat & Watercraft
  • Bonds
  • Business Owners Policy (BOP)
  • Commercial Auto
  • Condo Insurance
  • Earthquake
  • Flood Insurance
  • General Liability
2236 S Broadway Ste K Santa Maria, CA 93454-7800 | Phone: 805-266-7971 | Fax: 805-995-4910 | Toll Free: 888- 501-1213 | Contact Us | Get Map
Located in Santa Maria, California. We also serve the Lompoc, Orcutt, San Luis Obispo, Santa Barbara, and Santa Ynez areas. - Licensed in California
Site by: AlicorSolutions.com • © 2018 California Star Insurance Service Inc.