Lighthouse Insurance Services

Online Quotes

Getting a quote is easy! Simply select the insurance type you wish to receive a quote for below and fill out the form. We will get back to you shortly.

Insurance Types: Auto • HomeProtector • Business

Auto Insurance Quotes: Your Information

Name*
Date of Birth
DL #
Address
City
State
Zip
Do You Own or Rent?
Home Phone
Work Phone
Email*
Have you ever had insurance cancelled, refused or expire?
Any claims/tickets/accidents in the last three years?
If yes, what happened and what was the payout?
Any other licensed drivers in the household?

Vehicle One

Year
Make
Model
VIN#
Approx Miles to Work:
Current Coverages or Deductibles:

Vehicle Two

Year
Make
Model
VIN#
Approx Miles to Work:
Current Coverages or Deductibles:

Current Insurance Information

Name of Company:
Referred by:

HomeProtector Insurance: Your Information

Name*:
Date of Birth:
SSN:
Spouse's Name:
Spouse's Date of Birth:
Souse's SSN:
Address:
City:
State:
Zip:
Home Phone:
Cell Phone:
Work Phone:
Email:
If purchasing a home, settlement date:
Purchase price:
Any losses in the past three years?
Looking to switch companies?
Existing HP:
Have you had any insurance cancelled, refused or expired?

Coverages

Dwelling:
PP:
Other Structure:
LOU:
Liability:
Med. Pay:

Construction

# of Floors
# of Bedrooms:
#Bathrooms:
Sq. Footage:
Basement:
% Finished:
Type of Construction:
Type of House:
Garage:
# of Cars:
Attached or detached?
Is there a porch or deck?
Fire Hydrant?
Smoke Detectors?
Sprinklers?
# of Firplaces
Is there a monitored security system?

Is there a pool?

Does the pool have a 3' fence with locked gate?

Does the applicant conduct any business of the premises?

Referred by:

Business Insurance Quotes:

Name:
Business Name:
Address:
City:
State:
Zip:
Home Phone:
Work Phone:
Email:
Incorporated or Sole Propriator?
General or Professional Liability?
What type of business?
Commercial or Residential?
How many years?
Any Prior Coverage?
If yes, with who?
How much coverage are you looking for?
Any claims?
If yes, what type?
Gross Annual Sales:
Number of Employees:
Any Equipment or Inventory the needs covered?
If yes, what type and how much?
Referred by:

What our clients say:

"No jeopardizing customer service for better rates here!"
"One phone call to Lighthouse Insurance Services resulted in immediate resolution!"
"Thank you for your assistance
and I will concur that Erie Insurance
deserves its status as number one
in consumer satisfaction."

Lighthouse Insurance Services

Online Quotes

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