Motor Home Insurance

    General Info

    First name *:

    Last name *:

    Email address *:

    Street address *:

    City *:

    Postal code *:

    Number of Operators:

    Number of Vehicles:


    Operators Details:

    Operator's full name:

    Operator's date of birth:

    Operator's gender:

    MaleFemale

    Operator's marital status:


    Operator's full name:

    Operator's date of birth:

    Operator's gender:

    MaleFemale

    Operator's marital status:


    Operator's full name:

    Operator's date of birth:

    Operator's gender:

    MaleFemale

    Operator's marital status:


    Operator's full name:

    Operator's date of birth:

    Operator's gender:

    MaleFemale

    Operator's marital status:


    Operator's full name:

    Operator's date of birth:

    Operator's gender:

    MaleFemale

    Operator's marital status:


    License Information

    License class: *

    Months licensed G1:

    Months licensed G2:

    Date first licensed:

    Years licensed:

    Certified training program(s) completed?

    Student living away from home?


    Driving History

    Years of continuous prior insurance:


    Vehicle Details

    Year:

    Make:

    Model:

    Vehicle usage:

    Annual (KM) driven:


    Year:

    Make:

    Model:

    Vehicle usage:

    Annual (KM) driven:


    Year:

    Make:

    Model:

    Vehicle usage:

    Annual (KM) driven:


    Year:

    Make:

    Model:

    Vehicle usage:

    Annual (KM) driven:


    Year:

    Make:

    Model:

    Vehicle usage:

    Annual (KM) driven:

    Is the trailer towed or skirted?

    If skirted please provide the permanent address.

    How long is the trailer (ft)?

    Value or purchase price?

    Accidents / Claims

    Please list all accidents for all drivers - An unplanned event that resulted in personal injury or property damage.

    Number of accidents:

    Convictions

    Please list all convictions for all drivers - An offence that lead to a ticket while driving.

    Any convictions:

    Insurance Violations

    Please list all violations for all drivers - Fraud/misrepresentation, lapses, suspensions and cancellations.

    Any violations:

    How did you hear about us?

    "Just wanted to leave a message for your website that praises Nik Dore for being a constant example of always providing invaluable customer service. I never worry that my questions and concerns will be dismissed or that I am receiving less than constructive advice. Many thanks to him."
    &-–
    "I know all my insurance needs are covered with Oegema, Nicholson & Associates. I have been a loyal client for the last 15 years, and I can count of them for my commercial insurance, employee benefits, as well as my personal insurance and finances. Jeff Richer always goes above and beyond to help me with my insurance needs."
    O-Omkar Atwal, Owner, Leitrim Home Hardware
    "It’s always a pleasure to deal with Oegema, Nicholson & Associates, and I can depend on them for all my insurance needs. I have been a client for several years and whether it’s regarding my personal insurance, or anything to do with our employee benefits or commercial needs, I know I’m taken care of."
    R-Rhonda, Capital Dodge
    "I would like to thank Carol for everything she has done for me and my family over the years. It is my honest belief that we would not be in the position we are in if it was not for her guidance, expertise and honesty. We can't begin to thank her enough."
    T-Tim
    "ONA helps me with my personal insurance and my business insurance . They are my one stop shop when it comes to insurance and group benefits. I know I’m covered in all areas. Great friendly service and knowledgeable staff!"
    J-James Carriveau, President, Exact Interlock and Exact Properties
    "One call to Oegema, Nicholson Associates is all it took. After our basement flooded, within a day or two they had a crew cleaning everything up, taking down the drywall and itemizing everything to be cleaned, thrown out or restored. They had everything in place for us in a timely manner and were extremely patient with me as they talked me through the process and waited for me to make decisions."
    J-Jennifer Parks, Stittsville, Ontario
    "I’ve been dealing with ONA for over 20 years with my personal insurance, as well as our commercial insurance, and I know I can rely on them for great customer service, and prompt responses. I feel confident not only referring them to my employees, but to our customers as well."
    C-Charlene Brunet, President, Dan Murphy Ford
    Saul Mendoza (Salty)
    Saul Mendoza (Salty)
    2023-06-02
    My broker Bill C. from ONA has helped me over the years now with my vehicle insurance. He is very cautious and detail oriented when processing documentation, and ensures I understand everything whenever there are any changes. He recently helped me cut my premium almost in half just by improving my record and shopping around at the appropriate time. I am grateful to him and the team for being there for me when I need them.
    RMP Tutoring
    RMP Tutoring
    2022-05-14
    I was assisted recently by Greg, who did a wonderful job in not only answering all of my questions and helping me to review pre-existing insurance plans, as well as advising me to look into my credit card/group insurance before needlessly purchasing more. This to me speaks highly of the character of the employee and business of a whole, and it is certainly the one I will be going to for any future needs.
    Bobby SHARKS
    Bobby SHARKS
    2022-05-02
    They get back to you fast an excellent insurance agent
    lise sevigny
    lise sevigny
    2022-03-07
    Have been with Oegema for over 30 yrs. Always great service!
    Jamie C
    Jamie C
    2022-01-10
    Friendly, knowledgeable and professional. They take care of all my insurance needs. Commercial, Home and Auto.
    Bob Bent
    Bob Bent
    2022-01-10
    Great service on both commercial and personal lines.
    Jennifer Bardwell
    Jennifer Bardwell
    2021-06-04
    I purchased commercial insurance with this company. Very professional service throughout, and a good price on the policy. Would highly recommend!
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