Get A Quote - Marathon Insurance

Step

Please Fill the Form

What is your Home Address?

Step 3

Driver Information

What is your Date of Birth?

What is your Driver's License number?

What Month/Year did you obtain your licenses?

G1

G2

G

Did you complete a Driver Training Course?

Yes

No

Are there any another licensed drivers living in your household?

Yes

No

Step 4

Insurance History

Do you currently have an Auto Insurance policy?

Yes

No

How many years have you had auto insurance?

How many years have you been insured with your current company?

Have you been cancelled or declined by an insurance company for any reason in the past 6 years?

Yes

No

Step 5

Claims & Convictions

Have you had any at fault accidents in the last 10 years?

Have you had any tickets in the last 3 years?

Yes

No

Any other losses or claims to report?

Yes

No

Has your license been suspended in the past 6 years for any reason?

Yes

No

Step 7

Vehicle Use

How do you use this vehicle?

Personal Use

Business Use

Do you use your vehicle to commute to Work?

Yes

No

Step 8

More Information

Do you carry passengers for compensation (ridesharing ie: Uber)?

Yes

No

Do you use your vehicle for any Food Delivery Services (ie: UberEats, Skip The Dishes etc) or any other Delivery Service?

Yes

No

Step 9

Other Vehicles/Drivers

I am requesting a quotation for automobile insurance, and I authorize you to collect, use and disclose my driving record, auto insurance history and auto claims history, and those of the listed drivers from whom I declare I have obtained consent for these purposes, as permitted by law for the limited purposes necessary to assess the risk, investigate and settle claims, and detect and prevent fraud.

By clicking this box, you agree to the statement above.*

Please type your Initials in the box below

Step 3

Homeowner Information

What is your Date of Birth?

Are there any additional homeowners that need to be named on the policy?

Yes

No

Date of Birth?

Step 4

Insurance History

Do you currently have a home insurance policy?

Yes

No

How many years have you had prior Home insurance?

Have you been cancelled or denied by an insurance company in the last three years?

Yes

No

Have you had any claims in the last 6 years?

Yes

No

How many years have you lived at this address?

Step 7

Preventative Measures

Do you have a Sump Pump?

Yes

No

Do you have a Back-Flow Preventer?

Yes

No

Does your home have a monitored burglar alarm?

Yes

No

Does your home have a monitored fire/smoke alarm?

Yes

No

Step 3

Homeowner Information

What is your Date of Birth?

Are there any additional homeowners that need to be named on the policy?

Yes

No

Date of Birth?

Step 4

Insurance History

Do you currently have a home insurance policy?

Yes

No

How many years have you had prior Home insurance?

Have you been cancelled or denied by an insurance company in the last three years?

Yes

No

Have you had any claims in the last 6 years?

Yes

No

How many years have you lived at this address?

Step 6

Home Information (Continued)

What is the Estimated Value of your Contents (Personal Belongings) in your Home?

***Minimum amount is $30,000 with most Insurance Companies
***Contents (Personal Belongings) are any of your personally owned items, such as furniture, clothing, electronics, appliances etc)

Do you own any other property you would like to get a quote on?

Yes

No

Step 3

Homeowner Information

What is your Date of Birth?

Are there any additional renters that need to be named on the policy?

Yes

No

Date of Birth?

Step 4

Insurance History

Do you currently have Property Insurance?

Yes

No

How many years have you had prior Property insurance?

Have you been cancelled or denied by an insurance company in the last three years?

Yes

No

Have you had any claims in the last 6 years?

Yes

No

How many years have you lived at this address?

Step 6

Discounts

Does your home have a monitored burglar alarm?

Yes

No

Does your home have a monitored fire/smoke alarm?

Yes

No

Is it a Smoke-Free Household?

Yes

No

Are you retired?

Yes

No

Do you give us consent to do a soft credit check in order to give you the lowest premium we can offer?
***this can give you anywhere from 0-35% discount on your home insurance.

Please type your Initials in the box below

Step 3

Personal Information

What is your Date of Birth?

Gender

Male

Female

Do you smoke or use any Nicotine Products (including Vapes & E-Cigarettes)?

Yes

No

Have you ever been diagnosed with a serious health condition?

Yes

No

Step 4

Insurance Products

Are you interested in a Term, Universal or Whole Life ?

Term

Universal

Whole Life

Not Sure

How much coverage are you looking for?

Step 2