Turner & Hamrick, LLC
(334) 566-7665  Fax: (334) 566-7215
Personal Automobile 
Insurance Quote
What is your name?
Where are you located? City State
Do you have automobile insurance now? Yes No
What company has your current auto insurance?
If not listed, give your company name.
How long, in years, have you continuously had auto insurance without a lapse in coverage?
When Does Your Policy Renew? mm/dd/year
How much do you currently pay for your insurance?
How often do you pay that premium?
If you do not have coverage please indicate when you would like a policy to go into effect:
Number of drivers to be quoted:
Name on Drivers License (Driver #1)
Drivers License Number (Driver #1)
Social Security Number (Driver #1)
Date of Birth (Driver #1) mm/dd/year
Sex (Driver #1) Male Female
Marital Status (Driver #1)
Number of moving violations in the last 3 years (speeding, stop sign, etc)
Name on Drivers License (Driver #2)
Drivers License Number (Driver #2)
Social Security Number (Driver #2)
Date of Birth (Driver #2) mm/dd/year
Sex (Driver #2) MaleFemale
Marital Status (Driver #2)
Number of moving violations in the last 3 years (speeding, stop sign, etc)
Vehicle Information for Driver #1
Make:
Model:
Type:
VIN
Number of Doors:
Cylinders?
4-Wheel Drive? Yes No
Anti-Lock Brakes (ABS)? Yes No
Leased or Owned? Leased Own
Auto Use:
Miles to Work (1 Way)
Comprehensive Deductible:
Collision Deductible:
Vehicle Information for Driver #2
Make:
Model:
Type:
VIN
Number of Doors:
Cylinders?
4-Wheel Drive? Yes No
Anti-Lock Brakes (ABS)? Yes No
Leased or Owned? Leased Own
Auto Use:
Miles to Work (1 Way)
Comprehensive Deductible:
Collision Deductible:
Bodily Injury:
Property Damage Limit:
Uninsured Motorist Coverage:
Select Which Features You Would Like: Medical Coverage
Towing Coverage
Rental Car Reimbursement
What is Your Email Address?

Comprehensive Deductible
This deductible covers everything other than an actual collision (Theft, Act of God, Etc.) If a claim is made, the consumer must pay the deductible before the insurance company will fix, or replace the damaged item, in general the higher the deductible is the lower the premium

Collision Deductible
This deductible covers an actual accident. If a claim is made, the consumer must pay the deductible before the insurance company will fix, or replace the damaged item, in general the higher the deductible is the lower the premium.

Bodily-Injury
This, along with Property Damage make-up your Liability Limits. Bodily Injury is the part of Liability Insurance that covers any medical expenses which may occur in an at-fault accident. You will see 2 amounts, the first is the amount of coverage that you carry per person, the second amount is the amount of coverage you carry per accident. Both amounts are in thousands (100/300 means you are carrying $100,000 per person, and up to $300,000 per accident). If the amount of damage exceeds the amount of coverage that the insured is carrying, then the insured is responsible for the remaining balance.

Property Damage
This along with Bodily Injury make-up your Liability Limits. Property Damage is the part of Liability Insurance that covers any property which may be damaged in an at-fault accident. If the amount of damage exceeds the amount of coverage that the insured is carrying, then the insured is responsible for the remaining balance.

Uninsured Motorist
This is coverage for yourself against an uninsured motorist. If you are struck by an uninsured motorist and you are carrying this coverage then the insurance company will cover your medical expenses, and the cost to fix, or replace your property.