Auto Insurance Quote | American Insurance Services

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Your Information

Let's start with the basics so we can reach you with your quote

First Name *

Please enter your first name

Last Name *

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Mobile Phone * (include area code)

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Email Address *

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Date of Birth *

Please enter your date of birth

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Garaging Address

Where are the vehicles primarily kept overnight?

Street Address * (No PO Boxes)

Please enter your address

City *

Required

State

ZIP *

Required

We only write Florida policies. The garaging address determines your rates.

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Drivers

Tell us about everyone who will drive the insured vehicles

⚠️ All persons 15 years of age or older must be listed — whether they drive any of the vehicles or not.

ℹ️ All licensed household members must be listed — even if they rarely drive.

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Vehicles

Tell us about the vehicles to be insured — up to 4

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Coverage Options

Select your desired coverage levels

💡 All quotes include Stacked Uninsured Motorist and Full PIP ($10,000) as required by Florida law.

Liability Coverage *
(Bodily Injury / Bodily Injury per occurrence / Property Damage)

10/20/10 — State Minimum

$10K per person / $20K per accident / $10K property damage

25/50/50

$25K per person / $50K per accident / $50K property damage

100/300/50 — Recommended

$100K per person / $300K per accident / $50K property damage

100/300/100 — Best Protection

$100K per person / $300K per accident / $100K property damage

Please select a liability limit

Optional Add-Ons

Roadside Assistance

Rental Reimbursement

Available Discounts

Let us know if you qualify — these can lower your premium.

📄 Paperless

Receive all documents electronically

💳 EFT / Autopay

Pay automatically by bank draft or credit card

🏠 Homeowner

Do you own your home?

ℹ️ All Florida auto policies include Personal Injury Protection (PIP) — Full $10,000 and Stacked Uninsured Motorist coverage as standard. Coverage amounts are for quoting purposes only and will be reviewed before binding.

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Current Insurance

Tell us about your existing auto coverage

Do you currently have auto insurance? *

Please answer this question

Current Carrier

Policy Expiration Date

Current Liability Limits

Years with Current Carrier

Any accidents or violations in the last 3 years? *

Please answer this question

Please describe each incident — enter what you know:

📋 Incident #1

Date

Type

Which driver?

ℹ️ Honest disclosure helps us find the right carrier for you.

Additional notes (optional)

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Review & Submit

Almost done — please confirm your information looks correct

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I confirm that the information provided is accurate to the best of my knowledge. I understand that this is a quote request only and coverage is NOT BOUND by submitting this form.

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Quote Request Submitted!

Thank you! We've received your information and will contact you within one business day with your auto insurance quotes.

Questions? Call us at (386) 755-9070

Great Rates on Florida Auto Insurance

Your Information

Garaging Address

Drivers

Vehicles

Coverage Options

Current Insurance

Review & Submit

Quote Request Submitted!