Request an Auto Quote

Automobile Quote

Please complete the information below and remember we are always here to answer your questions.

Contact Information
Name*
Address
 
City
State
Zip
Daytime Phone Number
Nighttime Phone Number
Best Time to Call
Email Address*
* required fields
Current Auto/Motorcycle Insurance Information
Company Name
(not agency)
Policy Expiration Date
Premium Amount
Term
Auto/Motorcycle Information
(include all autos/motorcycles you or your family members own or lease)
Car/Motorcycle One
Year
Make
Model
Body Type
VIN#
Title Holder
Annual Mileage
Usage
Engine Size
Air Bags Yes
No
Car Alarm Yes
No
If vehicle is kept at an address other than that listed above, please indicate below.
Location City
Location State
Location Zip
Car/Motorcycle Two
Year
Make
Model
Body Type
VIN#
Title Holder
Annual Mileage
Usage
Engine Size
Air Bags Yes
No
Car Alarm Yes
No
If vehicle is kept at an address other than that listed above, please indicate below.
Location City
Location State
Location Zip
Car/Motorcycle Three
Year
Make
Model
Body Type
VIN#
Title Holder
Annual Mileage
Usage
Engine Size
Air Bags Yes
No
Car Alarm Yes
No
If vehicle is kept at an address other than that listed above, please indicate below.
Location City
Location State
Location Zip
Car/Motorcycle Four
Year
Make
Model
Body Type
VIN#
Title Holder
Annual Mileage
Usage
Engine Size
Air Bags Yes
No
Car Alarm Yes
No
If vehicle is kept at an address other than that listed above, please indicate below.
Location City
Location State
Location Zip
Liability Limit For ALL Vehicles
(Choose either Bodily Injury and Property Damage or Single Limit)
Bodily Injury
Property Damage
Single Limit
Uninsured/Underinsured
Deductible Information
Vehicle# Comprehensive Deductible Collision Deductible Towing Rental Reimbursement
1 Yes No Yes No
2 Yes No Yes No
3 Yes No Yes No
4 Yes No Yes No
Driver Information
(include all licensed drivers in your household)
Driver One
Driver Name
License Class
(Standard, CDL, Motorcycle, Bus, etc.)
Drivers License #
State/Province
Number of Years Licensed
Relation
Date of Birth
Sex Male Female
Marital Status
Courses Completed in the last 3 years (drivers ed): Yes No
Driver Two
Driver Name
License Class
(Standard, CDL, Motorcycle, Bus, etc.)
Drivers License #
State/Province
Number of Years Licensed
Relation
Date of Birth
Sex Male Female
Marital Status
Courses Completed in the last 3 years (drivers ed): Yes No
Driver Three
Driver Name
License Class
(Standard, CDL, Motorcycle, Bus, etc.)
Drivers License #
State/Province
Number of Years Licensed
Relation
Date of Birth
Sex Male Female
Marital Status
Courses Completed in the last 3 years (drivers ed): Yes No
Driver Four
Driver Name
License Class
(Standard, CDL, Motorcycle, Bus, etc.)
Drivers License #
State/Province
Number of Years Licensed
Relation
Date of Birth
Sex Male Female
Marital Status
Courses Completed in the last 3 years (drivers ed): Yes No
Driver History
(Please list ANY convictions for ANY driver convicted of moving traffic violations in the past 3 years)
Driver One
Date
Type of Conviction
Fines
Over Limit
Driver Two
Date
Type of Conviction
Fines
Over Limit
Driver Three
Date
Type of Conviction
Fines
Over Limit
Driver Four
Date
Type of Conviction
Fines
Over Limit
Please list ANY driver who has had license suspensions, revocations or DUI convictions below.
Driver License Suspended or Revoked DUI Conviction For
1
2
3
4
Please list ANY driver involved in accidents, regardless of fault, in the past 5 years
Driver One
Date
Description
Cost
At Fault Yes
No
Injuries Yes
No
Driver Two
Date
Description
Cost
At Fault Yes
No
Injuries Yes
No
Driver Three
Date
Description
Cost
At Fault Yes
No
Injuries Yes
No
Driver Four
Date
Description
Cost
At Fault Yes
No
Injuries Yes
No
Additional Information
Please give any additional comments you feel appropriate for this quotation. If you have additional information where there was not enough fields above, such as additional drivers, vehicles, driver histories, etc..., please enter them here.
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I have read the terms & conditions and I agree to be bound by those terms and conditions
 
 
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What Our Customers Say!

Fletcher Wilson has established himself as a highly-skilled insurance professional.  He and his firm excel in all areas pertaining to Insurance and Risk Management solutions.  Fletcher has built a reputable firm in our community with trustworthy associates.  He and his team handle their clients in a very professional manner. 

Steven H. Davis, Principal at Holden & Mickey, Inc.

Read what others have to say.

What's New

Claims and Your Insurance Rates
10/24/2017

When is it time to contact your auto insurance or home insurance agent to file a claim?

You might be thinking, "Whenever my car or house has been damaged, like by an accident, or a disaster." But deciding whether to file a claim can be a complex process. In some cases, a claim may cause an insurance company to raise your rates.  In other instances, a claim could land your name in a database that might make it difficult to get or maintain coverage in the future.  Before you file a claim, make sure you completely understand how it will impact your future premiums and insurability.
 
Claims that spike premiums
 
Certain types of home insurance claims are more likely to trigger an increase in premiums. They include:
 
1. Dog Bites
 
2. Water Damage
 
3. Slip-and-Fall Claims
 
"The whole point of insurance is to make good on a loss, to make individuals whole again," says Claire Wilkinson, the editor of Terms + Conditions, the blog of the New York-based trade group the Insurance Information Institute. However, many people fear that filing insurance claims will cause them to be "blackballed" by insurance companies, resulting in higher premiums, loss of coverage and difficulties obtaining new insurance. And in some cases, they might be right.  Read more here:
Read More »

 

What You Should Know About Rental Car Insurance
8/1/2017
There are some very serious contractual gaps in coverage for rental vehicles. Even if you purchase their Collision Damage or Physical/ Loss Damage Waivers, many rental car contracts exclude the following:
  • Theft of the Vehicle
  • Tolling, or Turning the Vehicle Over
  • Lease Gap coverage
  • Loss of Use
  • Glass, Tire and Undercarriage Damage
  • Animal Collision
  • Flood and Hail Damage
  • Damage above the Windshield
  • Individuals who rent personal vehicles for extended periods and do not have a Personal Auto policy in force
  • Drivers who rent, and do not own another vehicle insured elsewhere, need to be expecially careful here
Read More »

 

5 Ways to Control Rising Homeowners Insurance Premiums
6/10/2017
Just as with real estate values, location rules when it comes to homeowners insurance costs. According to the National Association of Insurance Commissioners, the average annual U.S. premium was $842 in 2015, the most recent year for which figures are available. Floridians paid the highest rates, averaging $1,534 a year, while at the opposite end of the spectrum, homeowners in Idaho paid $422.  North Carolina residents averaged $664 per year. 
 
Fortunately, you can take several steps to bring down the cost of your own homeowners policy, short of packing up and moving:
Read More »