Conduzco Seguros
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Dates travelling to Mexico
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Vehicle Type
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Car / Truck / SUV / Van
Motorcycle
Motorhome
Vehicle Identification Number (VIN)
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Vehicle Make
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Vehicle Model
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Vehicle Year
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2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
Vehicle Value
*
Select One...
$0.00 (Liability Only)
$5,000.00
$5,500.00
$6,000.00
$6,500.00
$7,000.00
$7,500.00
$8,000.00
$8,500.00
$9,000.00
$9,500.00
$10,000.00
$10,500.00
$11,000.00
$11,500.00
$12,000.00
$12,500.00
$13,000.00
$13,500.00
$14,000.00
$14,500.00
$15,000.00
$15,500.00
$16,000.00
$16,500.00
$17,000.00
$17,500.00
$18,000.00
$18,500.00
$19,000.00
$19,500.00
$20,000.00
$21,000.00
$22,000.00
$23,000.00
$24,000.00
$25,000.00
$26,000.00
$27,000.00
$28,000.00
$29,000.00
$30,000.00
$31,000.00
$32,000.00
$33,000.00
$34,000.00
$35,000.00
$36,000.00
$37,000.00
$38,000.00
$39,000.00
$40,000.00
$41,000.00
$42,000.00
$43,000.00
$44,000.00
$45,000.00
$46,000.00
$47,000.00
$48,000.00
$49,000.00
$50,000.00
$51,000.00
$52,000.00
$53,000.00
$54,000.00
$55,000.00
$56,000.00
$57,000.00
$58,000.00
$59,000.00
$60,000.00
Have you verified the current market value with
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How many items will be towed behind the above vehicle?
*
Not towing anything
1 towed unit
2 towed units
3 towed units
4 towed units
5 towed units
6 towed units
7 towed units
8 towed units
Towed Unit 1
Type of Towed Unit
*
Select One...
Tent Trailer
Travel Trailer / Fifth Wheel
Utility or Boat Trailer
Boat (List trailer seperately)
Vehicle (Car / Truck / Motorcycle / ATV / UTV)
Toy Hauler
Pop-Up Camper
Year of Towed Unit
*
Select One...
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
Value of Towed Unit
*
Select One...
$0.00 (Liability Only)
$5,000.00
$5,500.00
$6,000.00
$6,500.00
$7,000.00
$7,500.00
$8,000.00
$8,500.00
$9,000.00
$9,500.00
$10,000.00
$10,500.00
$11,000.00
$11,500.00
$12,000.00
$12,500.00
$13,000.00
$13,500.00
$14,000.00
$14,500.00
$15,000.00
$15,500.00
$16,000.00
$16,500.00
$17,000.00
$17,500.00
$18,000.00
$18,500.00
$19,000.00
$19,500.00
$20,000.00
$21,000.00
$22,000.00
$23,000.00
$24,000.00
$25,000.00
$26,000.00
$27,000.00
$28,000.00
$29,000.00
$30,000.00
$31,000.00
$32,000.00
$33,000.00
$34,000.00
$35,000.00
$36,000.00
$37,000.00
$38,000.00
$39,000.00
$40,000.00
$41,000.00
$42,000.00
$43,000.00
$44,000.00
$45,000.00
$46,000.00
$47,000.00
$48,000.00
$49,000.00
$50,000.00
$51,000.00
$52,000.00
$53,000.00
$54,000.00
$55,000.00
$56,000.00
$57,000.00
$58,000.00
$59,000.00
$60,000.00
Towed Unit 2
Type of Towed Unit
*
Select One...
Tent Trailer
Travel Trailer / Fifth Wheel
Utility or Boat Trailer
Boat (List trailer seperately)
Vehicle (Car / Truck / Motorcycle / ATV / UTV)
Toy Hauler
Pop-Up Camper
Year of Towed Unit
*
Select One...
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
Value of Towed Unit
*
Select One...
$0.00 (Liability Only)
$5,000.00
$5,500.00
$6,000.00
$6,500.00
$7,000.00
$7,500.00
$8,000.00
$8,500.00
$9,000.00
$9,500.00
$10,000.00
$10,500.00
$11,000.00
$11,500.00
$12,000.00
$12,500.00
$13,000.00
$13,500.00
$14,000.00
$14,500.00
$15,000.00
$15,500.00
$16,000.00
$16,500.00
$17,000.00
$17,500.00
$18,000.00
$18,500.00
$19,000.00
$19,500.00
$20,000.00
$21,000.00
$22,000.00
$23,000.00
$24,000.00
$25,000.00
$26,000.00
$27,000.00
$28,000.00
$29,000.00
$30,000.00
$31,000.00
$32,000.00
$33,000.00
$34,000.00
$35,000.00
$36,000.00
$37,000.00
$38,000.00
$39,000.00
$40,000.00
$41,000.00
$42,000.00
$43,000.00
$44,000.00
$45,000.00
$46,000.00
$47,000.00
$48,000.00
$49,000.00
$50,000.00
$51,000.00
$52,000.00
$53,000.00
$54,000.00
$55,000.00
$56,000.00
$57,000.00
$58,000.00
$59,000.00
$60,000.00
Towed Unit 3
Type of Towed Unit
*
Select One...
Tent Trailer
Travel Trailer / Fifth Wheel
Utility or Boat Trailer
Boat (List trailer seperately)
Vehicle (Car / Truck / Motorcycle / ATV / UTV)
Toy Hauler
Pop-Up Camper
Year of Towed Unit
*
Select One...
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
Value of Towed Unit
*
Select One...
$0.00 (Liability Only)
$5,000.00
$5,500.00
$6,000.00
$6,500.00
$7,000.00
$7,500.00
$8,000.00
$8,500.00
$9,000.00
$9,500.00
$10,000.00
$10,500.00
$11,000.00
$11,500.00
$12,000.00
$12,500.00
$13,000.00
$13,500.00
$14,000.00
$14,500.00
$15,000.00
$15,500.00
$16,000.00
$16,500.00
$17,000.00
$17,500.00
$18,000.00
$18,500.00
$19,000.00
$19,500.00
$20,000.00
$21,000.00
$22,000.00
$23,000.00
$24,000.00
$25,000.00
$26,000.00
$27,000.00
$28,000.00
$29,000.00
$30,000.00
$31,000.00
$32,000.00
$33,000.00
$34,000.00
$35,000.00
$36,000.00
$37,000.00
$38,000.00
$39,000.00
$40,000.00
$41,000.00
$42,000.00
$43,000.00
$44,000.00
$45,000.00
$46,000.00
$47,000.00
$48,000.00
$49,000.00
$50,000.00
$51,000.00
$52,000.00
$53,000.00
$54,000.00
$55,000.00
$56,000.00
$57,000.00
$58,000.00
$59,000.00
$60,000.00
Towed Unit 4
Type of Towed Unit
*
Select One...
Tent Trailer
Travel Trailer / Fifth Wheel
Utility or Boat Trailer
Boat (List trailer seperately)
Vehicle (Car / Truck / Motorcycle / ATV / UTV)
Toy Hauler
Pop-Up Camper
Year of Towed Unit
*
Select One...
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
Value of Towed Unit
*
Select One...
$0.00 (Liability Only)
$5,000.00
$5,500.00
$6,000.00
$6,500.00
$7,000.00
$7,500.00
$8,000.00
$8,500.00
$9,000.00
$9,500.00
$10,000.00
$10,500.00
$11,000.00
$11,500.00
$12,000.00
$12,500.00
$13,000.00
$13,500.00
$14,000.00
$14,500.00
$15,000.00
$15,500.00
$16,000.00
$16,500.00
$17,000.00
$17,500.00
$18,000.00
$18,500.00
$19,000.00
$19,500.00
$20,000.00
$21,000.00
$22,000.00
$23,000.00
$24,000.00
$25,000.00
$26,000.00
$27,000.00
$28,000.00
$29,000.00
$30,000.00
$31,000.00
$32,000.00
$33,000.00
$34,000.00
$35,000.00
$36,000.00
$37,000.00
$38,000.00
$39,000.00
$40,000.00
$41,000.00
$42,000.00
$43,000.00
$44,000.00
$45,000.00
$46,000.00
$47,000.00
$48,000.00
$49,000.00
$50,000.00
$51,000.00
$52,000.00
$53,000.00
$54,000.00
$55,000.00
$56,000.00
$57,000.00
$58,000.00
$59,000.00
$60,000.00
Towed Unit 5
Type of Towed Unit
*
Select One...
Tent Trailer
Travel Trailer / Fifth Wheel
Utility or Boat Trailer
Boat (List trailer seperately)
Vehicle (Car / Truck / Motorcycle / ATV / UTV)
Toy Hauler
Pop-Up Camper
Year of Towed Unit
*
Select One...
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
Value of Towed Unit
*
Select One...
$0.00 (Liability Only)
$5,000.00
$5,500.00
$6,000.00
$6,500.00
$7,000.00
$7,500.00
$8,000.00
$8,500.00
$9,000.00
$9,500.00
$10,000.00
$10,500.00
$11,000.00
$11,500.00
$12,000.00
$12,500.00
$13,000.00
$13,500.00
$14,000.00
$14,500.00
$15,000.00
$15,500.00
$16,000.00
$16,500.00
$17,000.00
$17,500.00
$18,000.00
$18,500.00
$19,000.00
$19,500.00
$20,000.00
$21,000.00
$22,000.00
$23,000.00
$24,000.00
$25,000.00
$26,000.00
$27,000.00
$28,000.00
$29,000.00
$30,000.00
$31,000.00
$32,000.00
$33,000.00
$34,000.00
$35,000.00
$36,000.00
$37,000.00
$38,000.00
$39,000.00
$40,000.00
$41,000.00
$42,000.00
$43,000.00
$44,000.00
$45,000.00
$46,000.00
$47,000.00
$48,000.00
$49,000.00
$50,000.00
$51,000.00
$52,000.00
$53,000.00
$54,000.00
$55,000.00
$56,000.00
$57,000.00
$58,000.00
$59,000.00
$60,000.00
Towed Unit 6
Type of Towed Unit
*
Select One...
Tent Trailer
Travel Trailer / Fifth Wheel
Utility or Boat Trailer
Boat (List trailer seperately)
Vehicle (Car / Truck / Motorcycle / ATV / UTV)
Toy Hauler
Pop-Up Camper
Year of Towed Unit
*
Select One...
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
Value of Towed Unit
*
Select One...
$0.00 (Liability Only)
$5,000.00
$5,500.00
$6,000.00
$6,500.00
$7,000.00
$7,500.00
$8,000.00
$8,500.00
$9,000.00
$9,500.00
$10,000.00
$10,500.00
$11,000.00
$11,500.00
$12,000.00
$12,500.00
$13,000.00
$13,500.00
$14,000.00
$14,500.00
$15,000.00
$15,500.00
$16,000.00
$16,500.00
$17,000.00
$17,500.00
$18,000.00
$18,500.00
$19,000.00
$19,500.00
$20,000.00
$21,000.00
$22,000.00
$23,000.00
$24,000.00
$25,000.00
$26,000.00
$27,000.00
$28,000.00
$29,000.00
$30,000.00
$31,000.00
$32,000.00
$33,000.00
$34,000.00
$35,000.00
$36,000.00
$37,000.00
$38,000.00
$39,000.00
$40,000.00
$41,000.00
$42,000.00
$43,000.00
$44,000.00
$45,000.00
$46,000.00
$47,000.00
$48,000.00
$49,000.00
$50,000.00
$51,000.00
$52,000.00
$53,000.00
$54,000.00
$55,000.00
$56,000.00
$57,000.00
$58,000.00
$59,000.00
$60,000.00
Towed Unit 7
Type of Towed Unit
*
Select One...
Tent Trailer
Travel Trailer / Fifth Wheel
Utility or Boat Trailer
Boat (List trailer seperately)
Vehicle (Car / Truck / Motorcycle / ATV / UTV)
Toy Hauler
Pop-Up Camper
Year of Towed Unit
*
Select One...
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
Value of Towed Unit
*
Select One...
$0.00 (Liability Only)
$5,000.00
$5,500.00
$6,000.00
$6,500.00
$7,000.00
$7,500.00
$8,000.00
$8,500.00
$9,000.00
$9,500.00
$10,000.00
$10,500.00
$11,000.00
$11,500.00
$12,000.00
$12,500.00
$13,000.00
$13,500.00
$14,000.00
$14,500.00
$15,000.00
$15,500.00
$16,000.00
$16,500.00
$17,000.00
$17,500.00
$18,000.00
$18,500.00
$19,000.00
$19,500.00
$20,000.00
$21,000.00
$22,000.00
$23,000.00
$24,000.00
$25,000.00
$26,000.00
$27,000.00
$28,000.00
$29,000.00
$30,000.00
$31,000.00
$32,000.00
$33,000.00
$34,000.00
$35,000.00
$36,000.00
$37,000.00
$38,000.00
$39,000.00
$40,000.00
$41,000.00
$42,000.00
$43,000.00
$44,000.00
$45,000.00
$46,000.00
$47,000.00
$48,000.00
$49,000.00
$50,000.00
$51,000.00
$52,000.00
$53,000.00
$54,000.00
$55,000.00
$56,000.00
$57,000.00
$58,000.00
$59,000.00
$60,000.00
Towed Unit 8
Type of Towed Unit
*
Select One...
Tent Trailer
Travel Trailer / Fifth Wheel
Utility or Boat Trailer
Boat (List trailer seperately)
Vehicle (Car / Truck / Motorcycle / ATV / UTV)
Toy Hauler
Pop-Up Camper
Year of Towed Unit
*
Select One...
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
Value of Towed Unit
*
Select One...
$0.00 (Liability Only)
$5,000.00
$5,500.00
$6,000.00
$6,500.00
$7,000.00
$7,500.00
$8,000.00
$8,500.00
$9,000.00
$9,500.00
$10,000.00
$10,500.00
$11,000.00
$11,500.00
$12,000.00
$12,500.00
$13,000.00
$13,500.00
$14,000.00
$14,500.00
$15,000.00
$15,500.00
$16,000.00
$16,500.00
$17,000.00
$17,500.00
$18,000.00
$18,500.00
$19,000.00
$19,500.00
$20,000.00
$21,000.00
$22,000.00
$23,000.00
$24,000.00
$25,000.00
$26,000.00
$27,000.00
$28,000.00
$29,000.00
$30,000.00
$31,000.00
$32,000.00
$33,000.00
$34,000.00
$35,000.00
$36,000.00
$37,000.00
$38,000.00
$39,000.00
$40,000.00
$41,000.00
$42,000.00
$43,000.00
$44,000.00
$45,000.00
$46,000.00
$47,000.00
$48,000.00
$49,000.00
$50,000.00
$51,000.00
$52,000.00
$53,000.00
$54,000.00
$55,000.00
$56,000.00
$57,000.00
$58,000.00
$59,000.00
$60,000.00
Towed Unit 9
Type of Towed Unit
*
Select One...
Tent Trailer
Travel Trailer / Fifth Wheel
Utility or Boat Trailer
Boat (List trailer seperately)
Vehicle (Car / Truck / Motorcycle / ATV / UTV)
Toy Hauler
Pop-Up Camper
Year of Towed Unit
*
Select One...
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
Value of Towed Unit
*
Select One...
$0.00 (Liability Only)
$5,000.00
$5,500.00
$6,000.00
$6,500.00
$7,000.00
$7,500.00
$8,000.00
$8,500.00
$9,000.00
$9,500.00
$10,000.00
$10,500.00
$11,000.00
$11,500.00
$12,000.00
$12,500.00
$13,000.00
$13,500.00
$14,000.00
$14,500.00
$15,000.00
$15,500.00
$16,000.00
$16,500.00
$17,000.00
$17,500.00
$18,000.00
$18,500.00
$19,000.00
$19,500.00
$20,000.00
$21,000.00
$22,000.00
$23,000.00
$24,000.00
$25,000.00
$26,000.00
$27,000.00
$28,000.00
$29,000.00
$30,000.00
$31,000.00
$32,000.00
$33,000.00
$34,000.00
$35,000.00
$36,000.00
$37,000.00
$38,000.00
$39,000.00
$40,000.00
$41,000.00
$42,000.00
$43,000.00
$44,000.00
$45,000.00
$46,000.00
$47,000.00
$48,000.00
$49,000.00
$50,000.00
$51,000.00
$52,000.00
$53,000.00
$54,000.00
$55,000.00
$56,000.00
$57,000.00
$58,000.00
$59,000.00
$60,000.00
Towed Unit 10
Type of Towed Unit
*
Select One...
Tent Trailer
Travel Trailer / Fifth Wheel
Utility or Boat Trailer
Boat (List trailer seperately)
Vehicle (Car / Truck / Motorcycle / ATV / UTV)
Toy Hauler
Pop-Up Camper
Year of Towed Unit
*
Select One...
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
Value of Towed Unit
*
Select One...
$0.00 (Liability Only)
$5,000.00
$5,500.00
$6,000.00
$6,500.00
$7,000.00
$7,500.00
$8,000.00
$8,500.00
$9,000.00
$9,500.00
$10,000.00
$10,500.00
$11,000.00
$11,500.00
$12,000.00
$12,500.00
$13,000.00
$13,500.00
$14,000.00
$14,500.00
$15,000.00
$15,500.00
$16,000.00
$16,500.00
$17,000.00
$17,500.00
$18,000.00
$18,500.00
$19,000.00
$19,500.00
$20,000.00
$21,000.00
$22,000.00
$23,000.00
$24,000.00
$25,000.00
$26,000.00
$27,000.00
$28,000.00
$29,000.00
$30,000.00
$31,000.00
$32,000.00
$33,000.00
$34,000.00
$35,000.00
$36,000.00
$37,000.00
$38,000.00
$39,000.00
$40,000.00
$41,000.00
$42,000.00
$43,000.00
$44,000.00
$45,000.00
$46,000.00
$47,000.00
$48,000.00
$49,000.00
$50,000.00
$51,000.00
$52,000.00
$53,000.00
$54,000.00
$55,000.00
$56,000.00
$57,000.00
$58,000.00
$59,000.00
$60,000.00
Coverage Details
Liability Limit
*
Select One...
$20,000.00
$30,000.00
$50,000.00
$100,000.00
$150,000.00
Do you have Collision and Theft coverage on your current US/Canadian Insurance policy?
*
Yes
No
Will there be drivers operating this vehicle under 21 years of age?
*
Yes
No
Which of the following best describes the reason for your visit to Mexico?
*
Select One...
Driving to a vacation destination / Tourist visa
Visiting friends or family
Business / work / school / Frequent commuter
Temporary Mexico resident visa holder
Permanant Mexico resident visa holder