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Travel Trailer Insurance Application
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* Indicates required question
Principal Named Insured (first, middle and last name)
*
Your answer
Date of birth (Named Insured/1st driver)
*
MM
/
DD
/
YYYY
Gender
*
Male
Female
Contact Email
*
Your answer
Contact phone number
*
Your answer
Garaging address
*
ZIP code required
Your answer
Mailing address (If different than garaging address)
Your answer
How long have you lived at your current address?
*
2 months or less
More than 2 months, but less than a year
More than 1 year
Travel Trailer VIN#
*
Your answer
Year
*
Your answer
Make
*
Your answer
Model
*
Your answer
Body Style
*
Choose
16ft
17ft
18ft
19ft
20ft
21ft
22ft
23ft
24ft
25ft
26ft
27ft
28ft
29ft
30ft
Vehicle purchase year
*
Your answer
Original owner
*
Choose
YES
NO
RV value (estimated ACV):
*
Enter the value of the Travel Trailer and all permanently attached equipment.
Your answer
Is the trailer parked at a single location year round?
*
Yes
No
RV a rented vehicle, ever rented to others or used for business purpose?
*
Yes
No
RV taken to and from work or used at a work location?
*
Yes
No
Primary Vehicle Use:
*
Recreational use
Primary residence
Enter the number of days the vehicle is used per year:
*
Your answer
Lienholder
*
An organization or person that loaned the insured money to purchase the vehicle. Name and address required to add as additional insured.
Your answer
Driver 1 full name
*
Your answer
Driver 2 full name
Your answer
Driver 1 marital status
*
Choose
Married
Single
Separated
Widowed
Divorced
Driver 2 marital status
Choose
Married
Single
Separated
Widowed
Divorced
Driver 1 date of birth
*
MM
/
DD
/
YYYY
Driver 2 date of birth
MM
/
DD
/
YYYY
Driver 1 gender
*
Female
Male
Nonbinary
Driver 2 gender
Female
Male
Nonbinary
Clear selection
Driver 1 license number
*
Your answer
Driver 2 license number
Your answer
Driver 1 Years RV Operating Experience:
*
Your answer
Driver 2 Years RV Operating Experience:
Your answer
Have you had RV or Travel Trailer insurance in the last 12 months?
*
Yes
No
Are you a USAA member
*
Yes
No
Primary Residence
*
Own home/condo
Own manufactured home
Rent
Live with parents
Other:
Required
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