Renters Insurance Quote Request
Please be aware of how we quote renters insurance: We collect all the necessary information from you in order to determine the correct rating for you. We then use that information in order to determine an estimate for your insurance. Some of the things we may input include your name, date of birth, and your social security number (we will not ask you for this online-- but you will be asked for it when you apply for your policy). This information is used to pull a record of your claims history, and insurance/credit score. If you have questions or concerns about this please call us before filling in the quote request below at (405)805-0005. 
By completing the information below you are providing us permission to pull your reports. 
If you have had homeowner/renters claims please provide detailed info about your claims history so we can match you with the best carrier for your situation.

Don't want to type all this stuff? Just give us a call at (405)805-0005 and we will quote you right over the phone! We have "real" humans, right here in Western Oklahoma City standing by to help you with your insurance needs!


We do not re-sell your information. We may give you a call or email to make sure you got your quote...  but, we do not bug people! We are blessed that we stay pretty busy and don't have time for that nonsense! We try to get all quotes out to you within 24 hours on a business day. If you are in a hurry give us a call. if you filled in the form and did not get a quote please call us (or check your spam folder ).


* Means we must have this information in order to quote you accurately

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Do you currently have renters insurance? *
If you answered YES above, what company are you with?
Enter the name of the insurance carrier
...and how long have you been with the current carrier?
If you answered YES above, when does your current policy expire?
enter the expiration date
MM
/
DD
/
YYYY
Have you had any home or renters claims in the past 5 years? *
If YES, how many claims? Please tell us the cause of the claim, month/year of claim, and the approximate amount:
If you have had claims please provide as much information as possible so we may match you with the best carrier.
Is your rental? *
If you put "other" please explain
Is your home in a high hazard flood area?
Clear selection
Is your home on MORE than 5 acres?
Clear selection
Does your home have central air conditioning?
Clear selection
What is the exterior of your home primarily made of?
Clear selection
If exterior is "other" please explain:
Do you have any of the following:
If you have dogs or livestock please describe below what breeds and how many:
Do you have any of the following:
(check all that apply)
First Named Insured
First Name *
(as it appears on the lease)
Last Name: *
(As it appears on the lease)
Date of Birth *
MO/DD/YR
Marital Status
Gender *
Highest level of Education completed:
Some carriers discount based on the level of education
If you are employed, what is your occupation?
Some carriers discount for occupations
Spouse / Co-owner Information
If you are single and the only property owner  in the household please scroll own to the "Your Contact Information" section below. If you are married you must include your spouse's information.
How is this person related to the Primary owner?
Marital Status Spouse / Co - Owner
Spouse/Co-owner Date of Birth
MM/DD/YY
Gender - Spouse/ Co- owner
Clear selection
Spouse / Co-owner as their name appears on the deed:
Include first and last name
Spouse / Co-owner occupation.
Some carriers discount for occupations
Spouse / Co-owner  Highest level of Education completed:
Some carriers discount based on the level of education
Address of the Home/Apartment you wish to Insure
Street Address including Apartment Number if applicable *
City *
State
Zip Code *
Servicing Fire Department
(If you do not know... put "don't know"
How many miles from fire station
Approximate feet from fire hydrant:
How much personal property coverage would you like on your policy? 
What deductible would you like to carry on your renters policy?
Clear selection
If you have not moved to the address above yet, or you have a separate mailing address please provide your mailing address:
If you have lived at the insured address less than 6 months please provide your previous address. 
Please provide your email address so we may email your quote to you: *
Please provide your phone number in case we have additional questions:
ADDITIONAL INFORMATION or comments you wish to provide:
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