Customer Information

License Information

Policy Options

Driving History

    
  • Accident Not at Fault (sign Affirmation Statement) - 1st
  • Accident Not at Fault (sign Affirmation Statement) - 2nd
  • Accident Not at Fault (sign Affirmation Statement) - 3rd
  • Accident with BI - 1st
  • Accident with BI - 2nd
  • Accident with BI - 3rd
  • Accident with BI and death - 1st
  • Accident with BI and death - 2nd
  • Accident with BI and death - 3rd
  • Accident with DUI - 1st
  • Accident with DUI - 2nd
  • Accident with DUI - 3rd
  • Accident with PD - 1st
  • Accident with PD - 2nd
  • Accident with PD - 3rd
  • Accident with reckless driving - 1st
  • Accident with reckless driving - 2nd
  • Accident with reckless driving - 3rd
  • Accident with speeding - 1st
  • Accident with speeding - 2nd
  • Accident with speeding - 3rd
  • Alcohol violation - 1st
  • Alcohol violation - 2nd
  • Alcohol violation - 3rd
  • Allowing unlicensed person to drive - 1st
  • Allowing unlicensed person to drive - 2nd
  • Allowing unlicensed person to drive - 3rd
  • Breathalyzer - 1st
  • Breathalyzer - 2nd
  • Breathalyzer - 3rd
  • Careless/negligent driving - 1st
  • Careless/negligent driving - 2nd
  • Careless/negligent driving - 3rd
  • Control substance - 1st
  • Control substance - 2nd
  • Control substance - 3rd
  • Defective taillight - 1st
  • Defective taillight - 2nd
  • Defective taillight - 3rd
  • Disobeying any official traffic device - 1st
  • Disobeying any official traffic device - 2nd
  • Disobeying any official traffic device - 3rd
  • Disobeying officer directing traffic - 1st
  • Disobeying officer directing traffic - 2nd
  • Disobeying officer directing traffic - 3rd
  • Driving in improper lane - 1st
  • Driving in improper lane - 2nd
  • Driving in improper lane - 3rd
  • Driving on wrong side of road - 1st
  • Driving on wrong side of road - 2nd
  • Driving on wrong side of road - 3rd
  • Driving through or within Safety Zone - 1st
  • Driving through or within Safety Zone - 2nd
  • Driving through or within Safety Zone - 3rd
  • Driving too fast for conditions (Less than 10 mph) - 1st
  • Driving too fast for conditions (Less than 10 mph) - 2nd
  • Driving too fast for conditions (Less than 10 mph) - 3rd
  • Driving too fast for conditions (Over 10 mph) - 1st
  • Driving too fast for conditions (Over 10 mph) - 2nd
  • Driving too fast for conditions (Over 10 mph) - 3rd
  • Driving under influence - 1st
  • Driving under influence - 2nd
  • Driving under influence - 3rd
  • Driving under suspension -1st
  • Driving under suspension -2nd
  • Driving under suspension -3rd
  • Driving uninsured vehicle - 1st
  • Driving uninsured vehicle - 2nd
  • Driving uninsured vehicle - 3rd
  • Driving vehicle in unsafe condition - 1st
  • Driving vehicle in unsafe condition - 2nd
  • Driving vehicle in unsafe condition - 3rd
  • Driving without valid drivers license - 1st
  • Driving without valid drivers license - 2nd
  • Driving without valid drivers license - 3rd
  • Failing to give / giving improper signal - 1st
  • Failing to give / giving improper signal - 2nd
  • Failing to give / giving improper signal - 3rd
  • Failure to dim lights - 1st
  • Failure to dim lights - 2nd
  • Failure to dim lights - 3rd
  • Failure to show proof of insurance w/o Suspension - 1st
  • Failure to show proof of insurance w/o Suspension - 2nd
  • Failure to show proof of insurance w/o Suspension - 3rd
  • Failure to show proof of insurance with Suspension - 1st
  • Failure to show proof of insurance with Suspension - 2nd
  • Failure to show proof of insurance with Suspension - 3rd
  • Failure to stop for Law Enforcement - 1st
  • Failure to stop for Law Enforcement - 2nd
  • Failure to stop for Law Enforcement - 3rd
  • Failure to yield right of way - 1st
  • Failure to yield right of way - 2nd
  • Failure to yield right of way - 3rd
  • False info on drivers license application - 1st
  • False info on drivers license application - 2nd
  • False info on drivers license application - 3rd
  • False information on application for tags/title - 1st
  • False information on application for tags/title - 2nd
  • False information on application for tags/title - 3rd
  • False information on insurance application - 1st
  • False information on insurance application - 2nd
  • False information on insurance application - 3rd
  • Felony DUI w/ACC (BI>$600 and PD>$1000)-1st
  • Felony DUI w/ACC (BI>$600 and PD>$1000)-2nd
  • Felony DUI w/ACC (BI>$600 and PD>$1000)-3rd
  • Felony in a motor vehicle - 1st
  • Felony in a motor vehicle - 2nd
  • Felony in a motor vehicle - 3rd
  • Following too close - 1st
  • Following too close - 2nd
  • Following too close - 3rd
  • Hit and run (bodily injury) - 1st
  • Hit and run (bodily injury) - 2nd
  • Hit and run (bodily injury) - 3rd
  • Hit and run (property damage) - 1st
  • Hit and run (property damage) - 2nd
  • Hit and run (property damage) - 3rd
  • Implied Consent - 1st
  • Implied Consent - 2nd
  • Implied Consent - 3rd
  • Improper backing - 1st
  • Improper backing - 2nd
  • Improper backing - 3rd
  • Improper parking - 1st
  • Improper parking - 2nd
  • Improper parking - 3rd
  • Inexperienced operator (licensed less than 3 years)
  • Involuntary manslaughter - 1st
  • Involuntary manslaughter - 2nd
  • Involuntary manslaughter - 3rd
  • Leaving scene of accident with BI - 1st
  • Leaving scene of accident with BI - 2nd
  • Leaving scene of accident with BI - 3rd
  • Leaving scene of accident with PD - 1st
  • Leaving scene of accident with PD - 2nd
  • Leaving scene of accident with PD - 3rd
  • Lending/borrowing drivers license - 1st
  • Lending/borrowing drivers license - 2nd
  • Lending/borrowing drivers license - 3rd
  • Minor (other) - 1st
  • Minor (other) - 2nd
  • Minor (other) - 3rd
  • Misrepresentation of identity - 1st
  • Misrepresentation of identity - 2nd
  • Misrepresentation of identity - 3rd
  • No lights with wipers on - 1st
  • No lights with wipers on - 2nd
  • No lights with wipers on - 3rd
  • Non-Owner Operating Uninsured - 1st
  • Non-Owner Operating Uninsured - 2st
  • Non-Owner Operating Uninsured - 3st
  • Open container - 1st
  • Open container - 2nd
  • Open container - 3rd
  • Operating vehicle without permission - 1st
  • Operating vehicle without permission - 2nd
  • Operating vehicle without permission - 3rd
  • Operating with improper brakes - 1st
  • Operating with improper brakes - 2nd
  • Operating with improper brakes - 3rd
  • Operating with improper lights - 1st
  • Operating with improper lights - 2nd
  • Operating with improper lights - 3rd
  • Owner Operating an Uninsured Vehicle - 1st
  • Owner Operating an Uninsured Vehicle - 2nd
  • Owner Operating an Uninsured Vehicle - 3rd
  • Passing stopped school bus - 1st
  • Passing stopped school bus - 2nd
  • Passing stopped school bus - 3rd
  • Passing unlawfully - 1st
  • Passing unlawfully - 2nd
  • Passing unlawfully - 3rd
  • Racing - 1st
  • Racing - 2nd
  • Racing - 3rd
  • Reckless driving -1st
  • Reckless driving -2nd
  • Reckless driving -3rd
  • Reckless homicide - 1st
  • Reckless homicide - 2nd
  • Reckless homicide - 3rd
  • Shifting lanes improperly - 1st
  • Shifting lanes improperly - 2nd
  • Shifting lanes improperly - 3rd
  • Speeding 10 mph or less - 1st
  • Speeding 10 mph or less - 2nd
  • Speeding 10 mph or less - 3rd
  • Speeding over 10 mph (Auto >15) - 1st
  • Speeding over 10 mph (Auto >15) - 2nd
  • Speeding over 10 mph (Auto >15) - 3rd
  • Speeding over 10 mph (Auto >25) - 1st
  • Speeding over 10 mph (Auto >25) - 2nd
  • Speeding over 10 mph (Auto >25) - 3rd
  • Speeding over 10 mph - 1st
  • Speeding over 10 mph - 2nd
  • Speeding over 10 mph - 3rd
  • Theft/unlawful taking of motor vehicle - 1st
  • Theft/unlawful taking of motor vehicle - 2nd
  • Theft/unlawful taking of motor vehicle - 3rd
  • Transporting illegal whiskey/drugs - 1st
  • Transporting illegal whiskey/drugs - 2nd
  • Transporting illegal whiskey/drugs - 3rd
  • Turning unlawfully - 1st
  • Turning unlawfully - 2nd
  • Turning unlawfully - 3rd
  • Unlawful Alcohol Concentration - 1st
  • Unlawful Alcohol Concentration - 2nd
  • Unlawful Alcohol Concentration - 3rd
  • Unverifiable driving record
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This estimated monthly payment does not include the additional fees required to pay the premium through our installment pay plans. Premiums are based on six month premium pricing. The monthly amounts listed may not be the exact cost and are for price comparison purposes.

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The coverages and descriptions in the quote are only general, and are not part of any binding contract. If you wish to proceed with binding this coverage, call your local agent shown above. Because the rate charged must follow our company guidelines, this quote is subject to change if the information used to quote is different or different rates have came into effect at the time of policy issuance.

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quoted monthly payment amount

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/6 mos*

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