Business Insurance Quotes

Before getting started, please note we don’t currently have any markets for the following risks:

Used Car Dealers with no Physical Lot
Contractors with NO PRIOR insurance
Transportation/Trucking/Towing

Name(Required)

First Last

What type of business are you calling about today?

Other Than Price, What's Important to you in selecting an agent or insurance company?

Date of birth

Cell Phone(Required)

Email(Required)

How did you hear about us?

Business Name and Entity

Business Website

Address

Street Address Address Line 2 City State ZIP Code

Do you rent or own this location?

Please tell us a little bit about your business

What Coverage are you looking for quotes on? (Auto, Liability, Worker's Comp)

FEIN #

Year Business started

Gross Annual Sales

Number of Full-Time Employees

Number of Part-Time Employees

Total Payroll Without Owners

Current Insurance Carrier

Current Insurance Expiration Date

Any claims in the past 5 years?

Please provide information about the claim(s) including the date and description of the loss

Coverages

Building Value (IF you own the building)

Business Personal Property Value

Year Built

Construction Type

Square Footage

Roof Type

Building Updates

Roof

HVAC

Electrical

Plumbing

Sprinkler System

Central Station Alarm

Do you currently have any type of client management system, payment portal, or client database that stores any type of client information.

Do You Process or Take Credit Card Payments?

Would you like your insurance program to protect you in the event of a data breach, hack or loss of confidential information?

Business Auto

Number of vehicles

Please enter a number less than or equal to 5.

Include up to 5 vehicles on this form. If the business owns more than 5 vehicles please upload a list at the end of this form

Number of drivers

Please enter a number less than or equal to 5.

Include up to 5 drivers on this form. If the business owns more than 5 vehicles please upload a list at the end of this form

Vehicle 1

Year

Make

Untitled

Model

VIN

Vehicle 2

Year

Make

Model

VIN

Vehicle 3

Year

Make

Model

VIN

Vehicle 4

Year

Make

Model

VIN

Would you like your insurance program to provide protections and coverages In the event that you are sued for any type of harassment or wrongful termination by an employee?

Would you like your insurance program to replace any stolen property or money in the event of employee theft?

Any additional notes or items to consider?

Start a Quote

Are you ready to save time, aggravation, and money? The team at Dickerson Insurance Agency is here and ready to make the process as painless as possible. We look forward to meeting you!

Start a Quote