Get An Auto Quote

Save on Auto Insurance Coverage with Armor Insurance Services LLC. Start saving and get a free personalized auto quote by completing the form below:

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Client Information:

Submitter Email(*)

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Client Full Name (Including M.I.)(*)

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Client Address(*)

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How Long At Address?(*)

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Prior Address (if less than two years)

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Client County(*)

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Client Phone(*)

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Client Email(*)

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Current Insurance Company(*)

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Number of years with the company(*)

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Policy Period(*)

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Current Premium(*)

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Please list the companies the client has already been quoted with(*)

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Household Information:

Provide information for all household members age 15 and older including: Full Name, Sex, Marital Status, Relation to Insured, Date of Birth, SR-22 Needed and their Social Security Number (SSN).

Details:(*)

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Driver Information:

Provide information for all drivers including: License #, License State, License Status, Date Licensed if Youthful Driver, Occupation of Driver.

Details:(*)

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Claim Information:

Provide information for all claims within the past 5 years including: Driver Name, Claims/Accidents/Violations, Date Of Loss, Claim Amount.

Details:(*)

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Vehicle Information:

Provide vehicle information for all vehicles to be insured. Include: Year, Make, Model, VIN#, Primary Operator

Details:(*)

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Vehicle Details:

Concerning the vehicles to be insured listed above, provide the following details in the area below for each vehicle: Vehicle Use (Business, Pleasure, Farm, Work Commute, School Commute), Miles Commute (one way/per week), Value Of Vehicle, Garaging Zip, Annual Miles

Vehicle Details(*)

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Coverages:

Provide information for desired coverages listed below:

Bodily Injury Liability

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Property Damage Liability

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Medical Payment Liability

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Uninsured Motorist Liability

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Underinsured Motorist Liability

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Comprehensive Deductible

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Collision Deductible

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Additional Coverage (Towing, Rental, etc)

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General Information:

Customized Equipment?

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Description and Value of customized equipment

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Snow Plow Attached?

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If yes, is plowing for own use or for a fee?

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Any household members have their own insurance?

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If yes, list the driver and the company

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Are all vehicles listed titled to the primary driver?

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If no, list how ALL vehicles are titled

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Does anyone in household have a company vehicle available for their regular "personal" usage?

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If "Yes" above, details on company vehicle and driver

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Extended Non-Owned Liability Coverage:

If you answered ‘Yes’ to the question listed above, this coverage is available for an additional fee. This endorsement provides coverage when using your company vehicle for personal use. The Commercial policy covering the corporate vehicle may exclude coverage for personal use. If coverage is requested, provide details on company vehicle and driver.

*Extended Non-Owned Liability

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Discounts:

EFT (Electronic Funds Transfer)

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Paperless Billing

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If yes to paperless, please provide client's email address

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Homeowner (proof will be required)

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If Mobile Homeowner, >10 years?

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Mutual Policy?

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If yes, list company

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Lien Holder or Additional Insureds?

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Please list Lien holder/Additional Insured information

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Highest Level of Education of Named Insured(s)?

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Progressive Discount Snapshot Program:

How it works: for qualifying vehicles, customers will receive a device to plug into their vehicle’s on-board diagnostic port (below the dashboard in most cars). It collects driving data and sends it to Progressive. Te device will need to be plugged in within 45 days of enrolling in the Snapshot program. Progressive will collect 75 days of driving data to provide any renewal discount, based on the driving data. *Currently in the state of Missouri (but will eventually be applied to all states), the clients who participate may see an increase in rates after the data is reviewed if Progressive finds that the client is not defined as a safe driver per Progressive’s guidelines.* If client is interested, please answer the following three questions:

Snapshot - Any vehicles driven between midnight and 4AM more than once per week?

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If yes, please list the vehicle(s) driven between midnight and 4AM

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Snapshot - How often is/are the vehicle(s) driven on heavily congested roads?

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Snapshot - Does any driver frequently brake hard and/or accelerate rapidly when operating a vehicle?

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If yes, which vehicle(s)?

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Hartford Discount True Lane:

How it works: Much like the Snapshot Program, it applies a 5% discount just for trying it out; they need to use it for at least 6 months. The customer will need to give an e-mail address as they can log onto the website and monitor their driving. At the end of the term, the discount that is applicable is anywhere from 0-25%. If customer is interested, please indicate below and provide a valid e-mail address:

Interested in True Lane Discount?

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If yes, please provide email address

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Please list additional information if it was not stated previously

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Confirmation:

I have read the following paragraph to the applicant and they have given permission to continue: The companies used by Armor Insurance Services LLC collect information from credit history and loss reports for rating purposes. This information is shared only with the companies in which we quote. Do we have permission to order this information and provide you with proposal for coverage?

Confirm(*)

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(*)

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Armor Insurance Services LLC

141 E Cook St.
Portage, WI. 53901
+1-608-434-0982
info@armor4you.com