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Office: 810-648-5400

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Office: 810-359-7000

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Office: 810-721-1300

Sheridan Agency Business
Insurance Quote Form
It only takes a few minutes!
Referred By:
Choose the Sheridan location
nearest you: (Required)

Your Personal Data
First & Last Name: (Required)
Your Company's Name:
Street Address:
City:
State:
Zip Code:
E-Mail (required):
E-Mail (re enter):
Phone:
Fax:

Currently Insured?:
If yes, list carrier, and
number of years continuous.
Type of Business:
List Claims & Amounts Paid
or type None
Years In Business:
Business Type:
(proprietorship, corporation, etc.)

UNDERWRITING INFORMATION
Describe Business Operations in Detail:


Ownership & Payroll Data:
Employee's Annual Payroll: # Employees:


Location & Sales Information:
Annual Gross Revenues: Square Footage of Business:
Type of Building: Number of Stories:
(Wood, Frame, Concrete, etc.)
Other Businesses/Residences in this Building: Safety Features: (Alarms, Sprinklers, etc.)

COVERAGE DESIRED
Type of Coverage:
NOTE: Don't worry if you are not exactly sure about coverage type... we will suggest the best coverage for you - just try to tell us what you are looking for! (If we need more info. we will let you know.)
Liability Coverage:
($300,000, $500,000, $1 Million, etc.)
Business Contents Coverage:
(The amount of your personal business property)
Building Coverage:
(The amount of building coverage if you own your bldg.)
Miscellaneous Coverage:
(List any special coverage peculiar to your business, such as Garagekeepers Legal, Loss of Earnings, Valuable Papers, etc.)

Comments or Questions:
Send my Business Insurance
Quote by:
We treat all your responses as private information. We will not give your data to any other person or group for any purpose. Although it is our intent to keep your information private, we cannot guarantee that it will not be viewed by others accidentally. Our online quote forms are to provide current and prospective clients an estimated premium only. No coverage can be bound by this process until original applications, signatures and premium are received and submitted to the insurance company for underwriting.

If you agree, please select YES and click the Submit button so that we can get to work on getting you your quote.
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