Welcome to our Quote Request Center!

To request a quote just click on a plus sign to expand the desired form.

Auto Insurance Quote

  1. (required)
  2. (valid email required)
  3. (required)
  4. (required)
  5. (required)
  6. (required)
  7. (required)
  8. Are you a homeowner?
  11. DRIVER INFORMATION
  12. (required)
  13. At The Independent Group we do believe in
    customer privacy. However, in order to provide
    you with the most accurate auto insurance quote
    we must have your state license number information
    to do so. If you decide not to provide this information
    we will have to call you back so you can provide this
    information to us over the phone.
  16. We understand that your Social Security number
    is a sensitive information. You may choose not to
    provide your SS number. However, if this information
    becomes necessary we will contact you over the phone.
  19. (required)
  20. Have you made a claim against current or
    other insurance company that provided
    your policy in the last 5 years?
  22. VEHICLE INFORMATION
  23. (required)
  24. (required)
  25. Vehicle Type
  27. Style
  29. Usage
  31. Desired Coverage
 

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Business Insurance Quote

  1. (required)
  2. (required)
  3. (required)
  4. (required)
  5. (required)
  6. (required)
  7. (valid email required)
  8. (required)
  10. Type of coverage desired for your business
    (check all that may apply)
  12. (required)
 

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Life Insurance Quote

  1. CONTACT INFORMATION
  2. (required)
  3. (valid email required)
  4. (required)
  5. (required)
  6. (required)
  7. (required)
  8. SOME DETAILS
  9. (required)
  10. (required)
  11. (required)
  12. (required)
  13. Are you a smoker?||
  15. (required)
 

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Home Insurance Quote

  1. HOMEOWNER'S INFORMATION
  2. (required)
  3. (valid email required)
  4. (required)
  5. (required)
  6. At The Independent Group we understand
    that your Social Security number is a sensitive
    information. You may choose not to provide your
    SS number. However, if this information becomes
    necessary we will contact you over the phone.
  9. Do you have a spouse or sole owner?
  14. Do you currently have insurance policy for this home?
  17. HOME DETAILED INFORMATION
  18. (required)
  19. (required)
  20. (required)
  21. (required)
  22. (required)
  23. (required)
  24. (required)
  25. (required)
  26. Construction type
  28. (required)
  29. (required)
  30. (required)
  31. Basement
  33. (required)
  34. (required)
  35. Is there a garage? (check all that apply)
  37. (required)
  38. Central Heating
  40. Is there a fireplace?
  42. (required)
  43. Is there a smoke alarms?
  45. Is there fire extinguishers in the house?
  47. (required)
  48. (required)
  49. (required)
  50. Deck?
  53. Porch?
  56. Deadbolts
  58. Is there an alarm system?||
  60. Is there a swimming pool on the property?
  62. Do you own trampoline?
 

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Renters Insurance Quote

  1. Personal Information
  2. (required)
  3. (valid email required)
  4. (required)
  5. (required)
  6. (required)
  7. (required)
  8. (required)
  9. Marital Status
  11. (required)
  12. We understand that your Social Security number
    is a sensitive information. You may choose not to
    provide your SS number. However, if this information
    becomes necessary we will contact you over the phone.
  18. Complex Information
  19. (required)
  20. (required)
  21. What type of complex?
  23. (required)
  24. (required)
  25. Does your apartment, townhouse,
    condo, duplex, rent house have a:
  27. (required)
  28. (required)
  29. (required)
  30. Does anyone in your home smoke?||
  32. Do you have pets?
  35. Is your unit currently insured?
 

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