Substandard car insurance quoteHomeSubstandard car insurance quoteSoumission auto sous standard (#7) -info@secureavie.comaIdentitéCoordonnéesVéhiculeHistoriqueConsentement⚠️ This service is reserved exclusively for residents of Quebec.First NameSurnameBackground (we have solutions) I have a criminal record? Have I already been cancelled for "non-payment"? I have had a licence suspension or cancellation in the last 5 years J'autorise Assur360 et assureur concerné à utiliser les informations que j'ai fournies pour procéder à une vérification automatique de ma cote de crédit, tant pour une mise à jour que pour le renouvellement de ma police. Je comprends que cela n'impactera pas ma cote de crédit.PreviousNextAddressAddress Line 1TownProvinceZip codePhone/mobileEmailPreviousNextAnti-theft system- Select -NoneTAGIgnition cut-off switchOther tracking systemYear of the vehicleVehicle make and modelYear of purchasePreviousNextCurrent or previous insurerNumber of claims 5 years- Select -None1 complaints2 complaints3 and moreDriving licence for how many years:- Select -More than 5 years1 year2 years3 years4 yearsNumber of traffic violations- Select -None1 complaints2 complaints3 and morePreviousNextYour date of birthYour occupationThe information collected in this section allows us, among other things, to pre-qualify for your insurance needs and potentially provide you with an insurance quote. The information provided is stored in order to meet legislative and regulatory requirements. In addition, by filling out the form, you consent to our use, communication or sharing internally and externally (in particular with partner firms and/or insurers) and that we retain this information. I agreeI would like to subscribe to the Assur360 newsletter for its contests, promotions and information YesAdditional InformationPrécédentSoumettre la demande Last updated: September 2, 2026
