Call Us Message Us


CBIS Information for Insurance Quote (pdf)


Non-Trucking Liability Premiums & Losses (xlsx)


Non-Trucking Liability Vehicle Information List (xlsx)


Non-Trucking Liability - Avant Payment Authorization Form (pdf)


Non-Trucking Liability - Avant NTL & PD Application Form (pdf)


Insurance Forms

Additional Information

Seeking insurance quotes? Look no further as our firm has recently saved one contractor as much as $110,000 annually in workers compensation premiums as well as $14,000 annually in non-trucking liability and physical damage insurance. As an independent agency, our firm sources rates on your behalf from various insurance agencies that are available in your state.

Simply, fill out the survey below and we will get in touch with you and provide you with an estimate of how much we can potentially save you.

There is no cost or obligation of any kind to the aforementioned service.

You can fill in the online form below or download the relevant paperwork from the top of this page and e-mail it to us and we will have one of our talented team members contact you.

Courier Brokers and Insurance Services LLC's Insurance Forms

Insurance Contact Form

Courier Broker and Insurance Services LLC

6201 West Buckhorn Trail, Phoenix,
Arizona 85083, United States

+1 (623) 444-4949


Mon 08:00 am – 05:00 pm

Tue 08:00 am – 05:00 pm

Wed 08:00 am – 05:00 pm

Thu 08:00 am – 05:00 pm

Fri 08:00 am – 05:00 pm

Sat By Appointment

Sun Closed