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Shipping Insurance Coverage

Formerly DSI
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REQUEST A QUOTE FOR INSURANCE
If you need to cover a one time shipment, you can place your order here.


Please complete the form below to receive a quote for shipping insurance coverage from Shipsurance. This application is for shippers that regularly send or receive packages\shipments. If you are looking to insure one shipment, please use our instant coverage order form.

A representative will contact you shortly with a tailored quote that is specifically designed to meet your needs. You are under no obligation to accept our quote.

Remember: There is coverage available for all size shippers!

 Click here to download a PDF hardcopy.
* Denotes Required Fields
 
Contact Information Sponsored by: MPCShippingInsurance.com
Company Name:
(DBA or Legal Business Name)
First Name: * 
Last Name: * 
Address: *
 
City: *
State/Province: *
Zip/Postal Code: *
Country: *
Phone: * Ext.
Fax:  (XXX-XXX-XXXX)
Email Address: *  
Shipping Information
Shipping Commodity: * 
Packages Shipped Per Month: *  
Insured Shipments Per Month: *  
Average Value Per Shipment: * $
Maximum Value Per Shipment: * $
Carriers Used: *
DHL   FedEx
UPS   USPS
Common Carrier (Land/Air/Ocean)
Other:
Shipping Software Used: *
Please select the shipping manifesting software that you use. If you do not use software to print shipping labels, select "Manual/None".
DHL EasyShip   DHL Website
FedEx ShipManager   FedEx Website
UPS Worldship   UPS Website
Endicia Dazzle   Stamps.com
Pitney Bowes Ascent   Clippership
Starship   Harvey Software
Ecometry   Postalmate
Resource   Shiprite
USPS Click-N-Ship   Manual/None
PayPal Shipping   Other
Do You Ship Internationally?: * Yes No  
Claims History (One Year History)
Number of Claims: *
Total Dollar ($) Value: * $
Claims With Other Insurer?: * Yes No
  If Yes, Other Insurer's Name:
 
Additional Information
Shipsurance Representative:
(If you were helped by a Shipsurance representative please enter their name here.)
How Did You Hear About Us?:
Comments/Questions:

By checking "I Accept" in the box below:

  1. You agree that the information entered above is accurate and complete.
  2. You agree to the terms and conditions
 I Accept

     
 
 
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