Low Cost Florida auto, homeowners and business insurance from The Insurance Guy, Inc.

"Miami, FL Auto and Homeowners Insurance Center"
Florida auto insurance and homeowners insurance
 
Read What Our Clients
Are Saying About Us!


 
Florida automobile insurance quotes

Fast and Free Miami, FL auto Insurance Quote
Automobile
Insurance
Quotes
Fast and Free homeowners Insurance Quotes for Florida
Homeowners
Insurance
Quotes
Fast and Free condo Insurance Quotes for FL
Condo
Insurance
Quotes
renters Insurance Quotes for Miami, FL
Renters
Insurance
Quotes
Fast and Free Florida boat Insurance Quotes
Boat
Insurance
Quotes
Fast and Free Florida motorcycle Insurance Quotes
Motorcycle
Insurance
Quotes
Florida general liability and CGL insurance quotes
General
Liability
Quotes
Florida Business insurance quotes
Business
Insurance
Quotes
Florida Business and commercial auto insurance quotes
Commercial
Auto
Quotes

Florida Insurance Services from The Insurance Guy, Inc

    Office Map/Directions
    Learn More About Our Agency
    Policy Service Request
    Protecting Your Privacy

 
 
Top 5 Reasons Why You Should Do Business With Insurance Miami.com

1. We Can Normally Issue Your Insurance Policy the SAME DAY We Quote It!

2. LOW Florida Insurance Rates - We Know the Miami, FL Insurance Markets.

3. Free No Pressure Quotes by Phone and Internet.

4. Top Service for Customer Service and Claims!

5. We are Nice People Too!


Miami, FL insurance rates and service, guaranteed!

          © 2011 Website Design by
             Insurance Web Sales

   
FL insurance quotes from Insurance Miami.com
 
On-Line Automobile
Insurance Quote Form
One Simple Form - takes only 2-3 Minutes!


Your Personal Data

Your Name:
Street Address:
City:
State: (Must be Florida)
Zip Code:
E-Mail (REQUIRED):
E-Mail again for accuracy:
Phone:
Fax (optional):
Primary Insured's Occupation:
 
Marital Status:
Single Married
Homeowner?
Yes No
 
Currently Insured?
(If yes, list carrier, and # of years
continuous. If none, type N/C)


DRIVER INFORMATION #1
Name: Birthdate:
Sex (M/F): # Years U.S.
 Licensing:
Be specific to tell if accidents are "at-fault" or "NOT-at-fault" - (carriers require proof on NOT-at-fault accidents); Also, be specific as to TYPE of violations, and approximate DATES of each in the fields below:
Number & Type of Accidents last 3 years: Number & Type of MINOR violations last 3 years:
Number & Type of MAJOR violations last 3 years: Daily commute
in ONE WAY miles:
Does Driver need
an SR22 FILING?
Yes No If YES to SR22 filing, why needed?
(list accident/cite)
Give details on all violations or accidents:


DRIVER INFORMATION #2 (if none, leave blank)
Name: Birthdate:
Sex: # Years U.S.
 Licensing:
Be specific to tell if accidents are "at-fault" or "NOT-at-fault" - (carriers require proof on NOT-at-fault accidents); Also, be specific as to TYPE of violations in fields below:
Number & Type of Accidents last 3 years: Number & Type of MINOR violations last 3 years:
Number & Type of MAJOR violations last 3 years: Daily commute
in ONE WAY miles:
Does Driver need
an SR22 FILING?
Yes No Comments or
Remarks?
Give details on all violations or accidents:
ADDITIONAL DRIVERS:
If More than 2 Drivers, list Additional Drivers' Names, Birthdates, and driving record history here:


VEHICLE #1 INFORMATION
(if "Non-Owners", type "NON-OWNER" in "YEAR" Field)
Year of vehicle: Make & Model:
Vehicle ID# (for rating accuracy):
Annual Mileage: Used in business?
(Explain, if yes):
VEHICLE #1 COVERAGES:
Select Liability Limits
 
Select Comprehensive Deductible:
 
Select Collision Deductible:
 
Rental Car &
Towing Coverage?
YES NO
 
Uninsured Motorists
Coverage?
YES NO
 
Medical and/or
PIP Coverage?
YES NO
 
 
VEHICLE #2 INFORMATION (if none, leave blank)
Year of vehicle: Make & Model:
Vehicle ID# (for rating accuracy):
Annual Mileage: Used in business?
(Explain, if yes):
VEHICLE #2 COVERAGES:
Select Liability Limits - - - Liability Limits Must
Match Vehicle #1 - - -
 
Select Comprehensive Deductible:
 
Select Collision Deductible:
 
Rental Car &
Towing Coverage?
YES NO
 
Uninsured Motorists
Coverage?
YES NO
 
Medical and/or
PIP Coverage?
YES NO
 
Comments or Remarks:
(List additional drivers, autos, etc. here)
ADDITIONAL VEHICLES: If More than 2 Vehicles, list Additional Vehicles Year, Makes, and Models here:


Send my quotation via: E-Mail Fax
Regular Mail
Call me by Phone!

Thank you for filling out this form COMPLETELY!

We value your input as PRIVATE information. Every step has been taken to insure your privacy, security, and our intent is to release quote information only to you. We will not give your data to ANY other person or group for sales, marketing, or ANY other purposes. By checking the box below you agree to allow our agency to release this information via the method you have chosen, and to release us from any liability should this information be accidentally viewed by others. Our intention is to maintain your complete privacy.

Yes, I Agree. Please Send Me an Auto Quote NOW!


Click Button Below When Done

Please Click Only Once . . . May take up to 30 seconds!

Insurance Miami.com - An Online Service of The Insurance Guy, Inc.
Phone: 305-668-7100 / Fax: 888-236-8036
E-Mail us at: info@insurancemiami.com
4928 S. Le Jeune Road Coral Gables, FL 33146