Testimonials

"You guys have cut my health insurance premium to half. I couldn't have asked for a better deal!"
- Jenny Smith, CA.

"You just saved me 30% on my auto insurance. Thank you!"
- Paul Johnson, CA.

Renters Insurance Quote

   

General Information

Your Name:
Mailing Address:
City:
State:
Zip:
Email:*
Home Phone:
Work Phone:
How to Contact You:
Date of Birth:
Social Security Number:
Do you currently have Illinois Renters Insurance?
Yes  No
Current Premium:
$
Coverage requested for?
Usage Type:
Years Lived at Address to be Insured:
Personal Property ($ value):
Personal Liability (each occurence):
Medical Payments (each person):
Deductible:

Policy Endorsements:

Actual Cash Value, Contents:
Yes  No
Replacement Cost, Contents:
Yes  No

Illinois Renters Insurance - Dwelling Information:

Building Structure:*
Year Dwelling Built:
Dwelling Square Feet:
Garage:

Loss History:

Did you have any losses, whether or not paid by insurance, during the last 3 years, at this dwelling location or any other location?
Yes   No

If the answer to the previous question was "Yes", please explain below.

Date:
Type:
Description of Loss:
Loss Amount:
Additional Information or Comments: