For your protection, California law requires the following to appear on this form.
I understand that any person who knowingly presents false or deceptive information with the intention of obtaining or modifying insurance coverage is guilty of a crime and may be subject to fines and confinement in a state prison.
If you only need to insure a single shipment, our traditional buy-now form may be the best option for you.
Insure One Shipment at a time