Mexican Auto Insurance Home Page

Mexican Registered Vehicle Insurance - Quote Request

* Indicates required fields.

Step 1 - Provide Your Vehicle Data
* Year
* Make
* Model
* Vehicle ID (VIN#)
* License Plate #
* License State/Territory of Mexico Specify the territory: BC, Front BC, Republic of Mexico.
Trim
Engine
Transmission
Drivetrain
Extra Equipment and Value $
Coverage Type Full Liability
If "Full", please list the current market value of your vehicle below.
Current Market Value Click to look up the Kelly Blue Book Value of your car. Fill in for Full Coverage only.
Is the vehicle going to be Frontier or Legalized, and when? Frontier (Froterizo)  
Legalized (Legalizado).
On this date:  (mm/dd/yyyy)
Step 2 - Provide Towed Units Information

WATERCRAFT / OUTBOARD MOTOR / TRAILER / SPECIAL ACCESSORY / CAMPER / VEHICLE IN TOW OR ATTACHED DATA

Accessories on the policy. Where applicable, please complete the blanks captioned below. If you want Full Coverage, please state the current market value of your towed unit(s). If you want Liability Only, please state each value as $0.

Watercraft* Outboard
Motor
Watercraft
Trailer
Make
Year
Model
Length
ID#
State
Value $
  Other
Unit #1
Other
Unit #2
Other
Unit #3
Make
Year
Model
Length
ID#
State
Value $
Total Value of Towed Units: $    

 

* Requested Start Date of Policy
  Calendar (mm/dd/yyyy) Date may not be prior to today.
Step 3 - Provide Your Customer Information
* Name
* First Name Middle * Last Name
* Date of Birth (mm/dd/yyyy)
* Address
* City
* U.S. State   OR Province
* Zip/Postal
* Country
* Phone:
Fax:
* Email:
* Driver's License # * State
Other Driver(s)
* Mexican Address
Exactly as it is stated on any Mexican Utility Bill
* Cuidad
* Estada
* Codigo Postal
Have you previously had a policy with Lewis & Lewis? Yes

The completed application must be returned to Lewis and Lewis with a copy of one of the following legal documents:

Tarjeta de Circulacion OR the
Pedimento de Importacion OR the Factura
E-mail Info@MexicanAutoInsurance.com  Fax (310) 207-7701
11900 W. Olympic Boulevard, Suite 475, Los Angeles, CA 90064

 

Please be aware that 3-5 days of processing time is required after your request for a quote is received. Our hours are Monday through Friday, 8:00am - 4pm (Pacific Standard Time).

If you have any further questions, please call us at the numbers listed below.