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Home
Coverage
Personal Insurance
Commercial Insurance
Adventure park insurance
Alarm Dealer Insurance
PERS Insurance
Service Center
Client Center
File a Claim
Online Billing and Payment
Request an ID Card
Request a Certificate
Policy Changes
Policy Review
About
Our Team
Locations
Events
Careers
Blog
Contact
(801) 622-2626
Get Your Quote
Home & Auto Insurance Quote Form
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First Name
Last Name
Email
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How did you hear about The Insurance Center?
What kind of Insurance are you needing?
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Auto Information
What is your occupation?
Married?
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Name, Birthday & Driver's License Number of ALL household members
Year, Make, Model & Vin# of All Vehicles and state full coverage or liability only
List vehicles here if used for business use:
Liability Limits (we do not offer state minimums)
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100/300/100
250/500/250
300-500 CSL (Combined Single Limit)
Comprehensive Deductible
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Liab Only
$500
$1000
Does any vehicle have a lienholder
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No
Are any vehicles used for rideshare or delivery services (Uber, DoorDash etc.)?
Y
No
Any After Market Parts? If so, Please list
Are any vehicles titled in a trust or other name?
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No
Have you had any accidents or tickets in the last 5 years?
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No
Would you like a home quote? (Bundling usually leads to saving)
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