Please enter the information below and press the Submit button. We will quote all the companies we represent and email you a detailed quote sheet with the lowest price. NOTE: Due to state regulations, we can only sell insurance in the state of MICHIGAN, USA. The vehicle must be registered in MICHIGAN and you must have a valid MICHIGAN drivers license.

1. Email address for the return quote followed by zip code like (yourname@aol.com 49855):

2. Do you have car insurance now?

Yes

No

3. Your current car insurance company if you answered YES to question #2?

Current Company:

4. Social Security Number? - Needed for the quote!

5. Your Full Name (First, Middle, Last)?

6. Your Street Address?

==== DRIVER INFORMATION ====

7. Number of Drivers?

8. Please provide this data in the box below for all drivers. Begin a drivers data with D1:, then D2:, etc. We need to know the following for each driver - First Name, Date of Birth, Married Status, Occupation(for possible group discounts), which vehicle is driven most(V1, V2, etc.), distance driven one way to work, any tickets or accidents in the last 5 years with approx(month, year) dates they happened(some tickets effect your rates for 2 yrs, some for 3 yrs and some for 5 yrs) (if speeding, please put down the amount over the speed limit for which you were ticketed). Ticket dates need only be APPROXIMATE.

Driver Info:

==== VEHICLE INFORMATION ====

9. Number of Vehicles?

10. Please provide this data in the box below for all vehicles. Begin a vehicle's data with V1:, then V2:, etc. We need to know the following for each vehicle - Year, Make, Model, VIN(optional for approximate quote but needed for an accurate full coverage quote), Air Bags(1,2,3), Antilock Brakes(Front, Rear, Both), Antitheft device.

Vehicle Info:

==== COVERAGE INFORMATION ====

11. Do you have a loan on a vehicle or is a vehicle leased?

Yes

No

12. Do you have health insurance (Medicare or Medicaid does not count)? Auto insurance is lower if you have health insurance that pays primary and you choose coordinated benefits coverage.

Yes

No

13. Number of Household Members?

14. Do you own a house or have other assets you need to protect in case you get sued due to an auto accident?

Yes

No

15. If you like our auto quote, would you consider getting an additional mulitpolicy discount by insuring both your cars and home with the same company?

Yes

No

==== LIABILITY COVERAGE ====

16. Residual Liability - Usually expressed as 3 numbers like those in the below box. These represent Bodily Injury per person / Bodily Injury per accident / Property Damage liability and represent 1000s (20 = $20,000). If you answered yes to the question 15, then we recommend you choose limits equal to or greater than 100/300/100.


17. Uninsured Auto Liability - We recommend at least the same limits as your Residual Liability limits above.


18. Underinsured Auto Liability - We recommend at least the same limits as Uninsured Auto Liability above.


==== PHYSICAL DAMAGE COVERAGE ====

This plus the above liability coverages are usually refered to as "Full Coverage" and include both Comprehensive and Collision coverages.

19. Do you want any Physical Damage coverage? Usually required if you have a loan on a vehicle or it is leased.

Yes

No

20. Comprehensive deductible? (If more than one vehicle is on the policy enter as V1:250, V2:None) (Choices are 0, 50, 100, 250, 500, 1000, or no coverage). This covers theft, fire, vandalism or if you hit an animal. The most common deductible is 100.

Comp:

21. Collision deductible? (If more than one vehicle is on the policy enter as V1:500, V2:None) (Choices are 250, 500, 1000, or no coverage). This covers your car for any damage caused by a collision with anything but an animal. The most common deductible is 500.

Coll:

22. Collision Type? (If more than one vehicle is on the policy enter as V1:Broad, V2:None) (Choices are Broad (if the other party is at fault your deductible is waived), Standard (you always have to pay your deductible), Limited (0 deductible but your car is only covered if the other party is at fault), or no coverage). The most common is Broad Form.

Coll Type:

23. Towing Coverage? - (Can only be on vehicles with physical damage coverage).

Yes

No

24. Rental Reimbursment? - (Will pay $30/day towards a rental car if your vehicle is damaged by covered cause of loss).

Yes

No

NOTE THAT THIS INSURANCE CANNOT BE PURCHASED OVER THE INTERNET OR PHONE. YOU MUST COME INTO OUR OFFICE AT 215 W. WASHINGTON ST., MARQUETTE MICHIGAN TO BUY THE QUOTED INSURANCE. THIS QUOTATION IS AN ESTIMATE AND IS NOT LEGALLY BINDING. IT DOES NOT IMPLY ANY COVERAGE HAS BEEN PROVIDED.

by pressing the above "Submit" button you are requesting a quote from

Foye Insurance Agency, Inc.

ALL INFORMATION IS ALWAYS KEPT TOTALLY CONFIDENTIAL.

 

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