Auto Insurance Quote - Car Insurance - American River Insurance Agency LLC

Auto Quote Request

Please provide the following information in preparation for quoting.

Contact Information

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Name *

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Last

Phone Number *

Email *

Please upload your current Auto policy *

Max file size: 20MB

Address *

Line 1

Line 2

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Driver Information

First Named Insured *

Driver’s License *

Marital Status *

Any Tickets? *

Gender *

Date of Birth *

Occupation *

Any Claims? *

Second Named Insured *

Driver’s License *

Gender *

Date of Birth *

Marital Status *

Any Tickets? *

Occupation *

Any Claims? *

Vehicle Information
(Uploading your current policy is advised)

Vehicle 1

Year *

Make *

Model *

Type of Use *

Comprehensive Deduct *

Is there a Lienholder? *

Collision Deductible *

VIN# *

Vehicle 2

Year *

Make *

Model *

Type of Use *

Comp Deductible *

Is there a Lienholder? *

Collision Deductible *

VIN# *

Claims Information

Driver *

Date of Claim *

Claim Amount *

Claim Details *

Driver *

Date of Claim *

Claim Amount *

Claim Details *

Insurance Information

Current or Prior Insurance Company *

Policy Expires In *

Coverage Desired *

Medical Payment/ PIP *

Rental Reimbursement *

Roadside *

What else should we know? *

Also Interested in *

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California Licensed # 6003600 | Oregon Licensed # 3001117035 | Washington Licensed # 1083606 Arizona Licensed # 3001419877 | Texas Licensed # 2812176

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Phone: (888) 570-1058
Fax: (916) 290-7210
Email:
[email protected]

Agency Mailing Address
333 University Ave
Suite 200
Sacramento CA, 95610

Agency Hours:
Monday – Friday: 9:00am to 5:00pm
Saturday & Sunday: Closed

Sacramento, CA Office

333 University Ave
Suite 200
Sacramento, CA 95825

Tacoma, WA Office

1201 Pacific Avenue
Suite 600
Tacoma WA, 98402

Sacramento Skyline (cropped) photo by J.smith | CC-BY-SA-3.0
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