RV, Travel Trailer & Motorhome Insurance Application

Fill out the RV Insurance form or download the printable PDF below:

RV Insurance PDF

    RV & MOTORHOME APPLICATION (Please complete ALL questions)


    Unit Information

    *We do not write class B

    Additional Information: (Does the Unit have any of the following Information)


    Please do not hesitate to reach out if you have any questions at all.

    The right products, great service, the best people

    Contact Us

    Cooper Location – Orchard Plaza

    Tel: 250-860-6064
    Fax: 250-860-6094

    Glen Park Location – Glen Park Village

    Tel: 250-862-9700
    Fax: 250-862-9742