Auto Insurance Quote | American Insurance Services

👤

Contact Information

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

First Name *

Please enter your first name

Last Name *

Please enter your last name

Mobile Phone *

Please enter your phone number

Email Address *

Please enter your email

Is this a cell phone? *

Please answer this question

📱 We prefer to communicate by text. Do you have a cell number?

Cell Phone Number (optional)

By checking this box, you consent to receive SMS/text messages from American Insurance Services of Lake City regarding your insurance quote. Reply STOP to opt-out anytime. Message and data rates may apply. See our Privacy Policy.

Street Address — Where vehicles are garaged * (No PO Boxes)

Please enter your address

City *

Required

State

ZIP *

Required

👥

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.

🚗

Vehicles

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

🛡️

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.

📄

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)

✅

Review & Submit

Almost done — please confirm your information looks correct

Please review the summary below. Use the Back button to correct anything.

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.

✓

Quote Request Submitted!

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

Great Rates on Florida Auto Insurance

Contact Information

Drivers

Vehicles

Coverage Options

Current Insurance

Review & Submit

Quote Request Submitted!

📋 Form Preview

Great Rates on Florida Auto Insurance

Contact Information

Drivers

Vehicles

Coverage Options

Current Insurance

Review & Submit

Quote Request Submitted!

📋 Form Preview

Do You Have a Cell Phone?