We're here to help
1-773-202-5060
Mon - Fri: 8AM-8:30PM Sat: 8AM-5:30PM
1
Basic Info
2
Add Drivers
3
Add Vehicles
Free
Quote
4
Policy Holder
5
Driving History
6
Excluded Drivers
7
Confirm Vehicles
8
Confirm Coverage
Buy
Policy
Please fix the following errors before proceeding
Got 2 Minutes?
We Shop - You Save
Our agents are here to help.
Call Now:
(773) 202-5060
Mon - Fri: 8am-8:30pm
Saturday: 8am-5:30pm
Excluded Drivers
* required fields
Any other household members 14 years of age or older besides the drivers listed?
An excluded driver is anyone ages 14 or over who is specifically mentioned as not covered on this policy. Any member of your household who will not be covered on this policy need to be listed here. This includes any other residents ages 14 or over in your household.
No
Yes
Excluded Driver #1
First Name
*
Last Name
*
Date of Birth
*
/
/
e. 01/01/1980
Sex
*
Male
Female
Marital Status
*
Single
Married
Relation
*
Aunt
Brother
Cousin
Daughter
Father
Friend
Husband
Mother
Nephew
Niece
Not related
Other
Self
Sister
Son
Spouse
Step Child
Step Father
Step Mother
Uncle
Wife
License
*
Excluded
Never been licensed
Excluded Driver #2
First Name
*
Last Name
*
Date of Birth
*
/
/
e. 01/01/1980
Sex
*
Male
Female
Marital Status
*
Single
Married
Relation
*
Aunt
Brother
Cousin
Daughter
Father
Friend
Husband
Mother
Nephew
Niece
Not related
Other
Self
Sister
Son
Spouse
Step Child
Step Father
Step Mother
Uncle
Wife
License
*
Excluded
Never been licensed
Excluded Driver #3
First Name
*
Last Name
*
Date of Birth
*
/
/
e. 01/01/1980
Sex
*
Male
Female
Marital Status
*
Single
Married
Relation
*
Aunt
Brother
Cousin
Daughter
Father
Friend
Husband
Mother
Nephew
Niece
Not related
Other
Self
Sister
Son
Spouse
Step Child
Step Father
Step Mother
Uncle
Wife
License
*
Excluded
Never been licensed
Excluded Driver #4
First Name
*
Last Name
*
Date of Birth
*
/
/
e. 01/01/1980
Sex
*
Male
Female
Marital Status
*
Single
Married
Relation
*
Aunt
Brother
Cousin
Daughter
Father
Friend
Husband
Mother
Nephew
Niece
Not related
Other
Self
Sister
Son
Spouse
Step Child
Step Father
Step Mother
Uncle
Wife
License
*
Excluded
Never been licensed
Back
Continue
More exclusions?
+
Exclude Another
Less exclusions?
-
Remove Excluded Driver
Copyright © 2025 Insure On The Spot All Rights Reserved.
Patent pending technology
Affiliate login
