QuoteAttack Contact us  |   Site Map

Homeowners      |     Auto     |    Life     |    Health   |    Business    |     About Us

We are a quick and efficient way to shop for insurance.  Please take a few minutes and fill out the requested information completely to receive the best and most accurate quotes.  This allows Agents within the industry to find you the best deal on insurance and also to save time and money.  There are no obligations and our service is free! Car Insurance Application  Email: First Name: Last Name: Address: City: State/Province: Postal/Postcode: Country: Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Arctic Ocean Argentina Armenia Aruba Ashmore and Cartier Islands Atlantic Ocean Australia Austria Azerbaijan Bahamas Bahrain Baker Island Bangladesh Barbados Bassas da India Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory British Virgin Islands Brunei Bulgaria Burkina Faso Burma Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Clipperton Island Cocos (Keeling) Islands Colombia Comoros Congo, Democratic Republic Congo, Republic Cook Islands Coral Sea Islands Costa Rica Cote d Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Europa Island Falkland Islands (Islas Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern and Antarctic Lands Gabon Gambia Gaza Strip Georgia Germany Ghana Gibraltar Glorioso Islands Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See (Vatican City) Honduras Hong Kong Howland Island Hungary Iceland India Indian Ocean Indonesia Iran Iraq Ireland Israel Italy Jamaica Jan Mayen Japan Jarvis Island Jersey Johnston Atoll Jordan Juan de Nova Island Kazakhstan Kenya Kingman Reef Kiribati North Korea South Korea Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Man, Isle of Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Midway Islands Moldova Monaco Mongolia Montserrat Morocco Mozambique Namibia Nauru Navassa Island Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pacific Ocean Pakistan Palau Palmyra Atoll Panama Papua New Guinea Paracel Islands Paraguay Peru Philippines Pitcairn Islands Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Helena Saint Kitts and Nevis Saint Lucia Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands Southern Ocean Spain Spratly Islands Sri Lanka Sudan Suriname Svalbard Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad and Tobago Tromelin Island Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Venezuela Vietnam Virgin Islands Wake Island Wallis and Futuna West Bank Western Sahara World Yemen Yugoslavia Zambia Zimbabwe Daytime Phone    Is this work or home?   Work Home Evening  Phone    Is this work or home?   Work Home Gender                Male Female Cell  Phone    Current Carrier Information Have you carried auto insurance on any vehicle in the past 30 days? Yes No How long have you continuously had auto insurance? Less then 6 months 6 months to 1 year 1 years 2 years 3 years 4 years 5 years 6 years 6+ years Your most recent insurance company? ---- TOP 20 Insurance Companies ----- AAA AIG Allied Allstate American Family Amica Farm Bureau Farmers GEICO Hartford Liberty Mutual Metropolitan Co. Nationwide Progressive Prudential SAFECO State Farm Travelers United Services Automobile Association Unitrin Direct Other (Not Listed) ---- Aphabetical listing of All Comapnies ---- AAAAAA AABCO Acceptance Access Insurance Acordia Aegis Security AETNA Affirmative AIG AIU Alliance for Affordable Services Allied All Nation All Risk Allianz Allstate Amalgamated Life Insurance America's Ins. Consultants American Alliance American Banks American Economy American Empire Group American Family American General American International Group American Investors American National American Premier American Reliable American Republic American Standard American States American Sterling Insurance American Underwriters American United Life Insurance Amerisure AmerUs Life AmwestInsurance Group Amica API Arbella Arizona General/option> Assigned Risk Association Field Services Associated Indemnity Assurity LIfe Atlanta Casualty Atlantic Indemnity Austin Mutual Auto Owners Avomark Badger Mutual Bankers & Shippers Bankers Life and Casualty Beneficial Life Insurance Berkshire Life Insurance Blue Cross/Blue Shield Bonneville Boston Old Colony Builders Cal Farm California Casualty California State Automobile Association Camden Capital Choice Care Entrie Cascade National Ins Casualty Assurance Centennial Charter Oak Chicago Insurance Chubb church Mutual Cigna Citizens Clarendon American Cloverleaf CMA CMA Alliance CNA Colonial Combined Commercial Union Commonwealth Continental Cotton States Cottonwood Country Financial Services Country Insurance Credit Union Criterion CUNA Mutual Dairyland Dakota Fire Deerbrook Depositors Emcasc Dixie Ebco General Economy Electric EMC Empire Employers Fire Ensure Equitable Erie Insurance Facility Farm Bureau Farmers Farmland Federal Federated Fidelity Financial Indemnity Fire and Casualty Co of CT Fireman's Fund First American First Colony First Financial First General First National Ford Motor Credit Foremost Fortis Group Franklin Golden Rule GEICO GE Financial Network General Accident Gerber Life Insurance Globe GMAC Golden Rule Government Employees Grange GRE Great American Great Way Great West Grinnell Mutual Guaranty National Guardian Guide One GEICO Halcyon Hanover Lloyd's Company Happy Days Hartford Hawkeye Security Health Net Health Plus of America Heritage Horace Mann Humana IDS IFA Auto IGF Infinity Insurance of Evanston Integon Interstatey John Deer John Hancock Kaiser Foundation Health Plan Kemper Lloyds Kemper Insurance Kentucky Central Landmark Life Insurance Leader General Leader National League General Liberty Mutual Lincoln Financial Group London Life Insurance Lumbermens Mutual Managed Comp Marathon Markel American Maryland Casualty Mass Mutual MBA Insurance Mendota Mega Life and Health Ins. Merastar Mercury Met Life Metropolitan Co. Mid Century Mid-Continent Casualty MidWest Mutual Mid-West Ntl. Life MidCentury (Farmers) Midwest Mutual Middlesex Millbank Millers Mutual Milwaukee Milwaukee Guardian Milwaukee Mutual Minnehoma Missouri General Modern Woodmen of America MONY Group Motors Mountain Laurel MSI Mutual of Enumclaw Mutual of New York Mutual Of Omaha N.A.S.E. National Alliance National Assoc - Self Employed National Colonial National Continental National Farmers Union National Health National Indemnity National Merit National Surety Corp Nationwide New England Financial New York Life North American North Pacific Northe Pointe North Shore Northern Capital Northern States Northland Northwestern Northwestern Mutual Life Ohio Casualty First Security Olympia Omaha Omni Oregon Mutual Pacific Pacific Life Insurance Pafco General Paloverde Pan-American Life Insurance Patriot General Peak Property and Casualty PEMCO Penn America Penn Mutual Pennsylvania Natl Phoenix Pinnacle Pioneer Life Preferred Abstainers Preferred Risk Premier Prestige Primerica Principal Financial Progressive Insurance Protective Casualty Protective Life Provident Corporation Prudential Quality RBC Liberty Insurance Ramsey Ranger Regal Reliance Reliant ReliaStar Life Republic Indemnity Response Rockford Mutual SAFECO Safeway Savings Bank Life Insurance Sea West Insurance Secura Security Co of Hartford Security National Co of FL Sedgwick James Sentinel Sentry Group Shelter Co. Skandia Spectrum St. Paul Standard Fire Company Standard Guaranty State Auto State Farm State Mutual State National Ins Sun Coast Sun Life Superior Sutter TICO TIG Countrywide Titan Total Tower Travelers Tri-State Consumer Trinity Universal Trust Hall Twentieth Century Twin City Fire UGA Unicare Uniguard Union United American United Financial United Fire & Casual United Security United States Fideli Unitrin Unsure US Health Advisors USF&G USAA Utah Home and Fire Utica Vasa North Atlantic Vigilant Viking County Mutual Viking Co of Wisconsin Wausau Insurance Wawaunesa Wellington West American West Bend Mutual West Field West Plains Western Mutal Western National Western Southern Life Westfield William Penn Life Windsor Windstar Wisconsin Mutual Workmans Auto WorldWide Yellow Key Yosemite Zurich North America Other Company (Not Listed) How long have you been insured with this company? Less then 6 months 6 months to 1 year 1 years 2 years 3 years 4 years 5 years 6 years 6+ years When does your policy expire (Month)? January February March April May June July August September October November December When does your policy expire (Day)? 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 When does your policy expire (Year)? 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 How much do you currently pay for your insurance? How much do you currently pay for your insurance (per)? Monthly Yearly Quarterly Every 6 Months What are your current liability limits? State Minimum $25.000/$50.000/$10.000 $50.000/$100.000/$25.000 $100.000/$300.000/$50.000 (Most Common) $250.000/$500.000/$100.000 $500.000/$1.000.000/$100.000+ $1.000.000/$1.000.000/$100.000+ Not Sure Coverage you would like. State Minimum 50/100/50 100/300/100 250/500/250 Driver 1 Details (main applicant)  In which state are you licensed? Select One Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming  License Status Active Expired Foreign Permit Restricted Suspended Temporary Unlicensed Date Of Birth Select One: January February March April May June July August September October November December     1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31     1900 1901 1902 1903 1904 1905 1906 1907 1908 1909 1910 1911 1912 1913 1914 1915 1916 1917 1918 1919 1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998  Gender  Male     Female  Marital Status Married Single Divorced Separated Widowed  Education Level Some High School High School Grad Some College Associates Degree Bachelors Degree Masters Degree Doctorate  Occupation Account Executive Actuarial Clerk Actuary Administrative Asst Agent/Broker Agr Inspect/Grader Air Traffic Control Analyst Analyst Broker Animal Control Ofcr Announcer/Broadcstr Arborist Architect Assist-Med/Dent/Vet Attorney Audio-Visual Tech. BailiffBailiff Baker Bldg Maint Engineer Bookkeeper BuyerBuyer CampCounselor/Lead Caterer Chief Executive Claims Adjuster Clergy Clerk Clinical Data Coord. Coach Collections College Professor Commissioner Composer/Director Concessionaire Constrct Proj Consultant Controller Corrections Officer Council Member Counselor Court Clrk/Reporter CPA/Auditor CSR/Teller Curator Dental Hygienist Deputy Sheriff Designer Director. Program Director/Administer Disabled Dispatcher Doctor/Dentist Drafter Editor Electrician/Linesman Engineer Event Mgr/Promoter Examiner Executive Farm/Ranch Owner Fed Agt/Marshall Field Service Tech Financial Adviser Fire Chief Fire Fighter/Supv. Flight Attendant Florist Foreman/Supervisor Gaming Officer/Invest Grad. Teaching/Asst H.R. Representative Heat/Air Technician Heat/AirCond Repair Highway Patrol Ofcr Homemaker Hospice Volunteer Inspector Instructor-Vocation Investment Banker Journalist/Reporter Judge/Hearing Ofcr Legal Asst./Sec Legislator Librarian/Curator Loan/Escrow Process Manager Marketing Researcher Mathematician Mayor/City Manager Meter Reader Military E1 - E4 Military E5-E9 Military Officer Mortician Network Admin Nurse - C.N.A. Nurse - RN Officer-Warrant Optometrist Other Paralegal/Law Clerk Paramedic/EM Tech Park Ranger Pharmacist Pilot/Capt/Eng Planner Plumber Police Offcr/Supvr Postmaster Printer/Bookbinder ProducerProducer Product Manager Programmer Project Coordinator Quality Control Ranger Realtor Receptionist/Sec Regulator Research Prog. Dir Researcher Retired Sales Rep Scientist Shoemaker Social Worker Sociologist Sports Brdcstr/Journ Student Superintendent Support Technician Surveyor/Mapmaker Systems Security Tailor/Custom Sewer Teacher Teaching Asst/Aide Technical Writer Technician Therapist Ticket Agent Ticket Sales/Usher Trainer/Instructor Tutor Umpire/Referee Underwriter Unemployed Upholsterer US Postal Worker Valet Veterinarian Web Developer Wine Steward  Have you had?  DUI/DWI  License Suspension  SR-22  How many violations claims have you had in last 3 years? 0 1 2 3 4 5 6 7 8 9+ Driver 2 Details (optional)  First Name  Last Name  In which state are you licensed? Select Select One Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming  License Status Select Active Expired Foreign Permit Restricted Suspended Temporary Unlicensed Date Of Birth Select January February March April May June July August September October November December   Select 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31   Select 1900 1901 1902 1903 1904 1905 1906 1907 1908 1909 1910 1911 1912 1913 1914 1915 1916 1917 1918 1919 1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998  Gender Select Male Female  Marital Status Select Married Single Divorced Separated Widowed  Education Level Select Some High School High School Grad Some College Associates Degree Bachelors Degree Masters Degree Doctorate  Occupation Select Account Executive Actuarial Clerk Actuary Administrative Asst Agent/Broker Agr Inspect/Grader Air Traffic Control Analyst Analyst Broker Animal Control Ofcr Announcer/Broadcstr Arborist Architect Assist-Med/Dent/Vet Attorney Audio-Visual Tech. BailiffBailiff Baker Bldg Maint Engineer Bookkeeper BuyerBuyer CampCounselor/Lead Caterer Chief Executive Claims Adjuster Clergy Clerk Clinical Data Coord. Coach Collections College Professor Commissioner Composer/Director Concessionaire Constrct Proj Consultant Controller Corrections Officer Council Member Counselor Court Clrk/Reporter CPA/Auditor CSR/Teller Curator Dental Hygienist Deputy Sheriff Designer Director. Program Director/Administer Disabled Dispatcher Doctor/Dentist Drafter Editor Electrician/Linesman Engineer Event Mgr/Promoter Examiner Executive Farm/Ranch Owner Fed Agt/Marshall Field Service Tech Financial Adviser Fire Chief Fire Fighter/Supv. Flight Attendant Florist Foreman/Supervisor Gaming Officer/Invest Grad. Teaching/Asst H.R. Representative Heat/Air Technician Heat/AirCond Repair Highway Patrol Ofcr Homemaker Hospice Volunteer Inspector Instructor-Vocation Investment Banker Journalist/Reporter Judge/Hearing Ofcr Legal Asst./Sec Legislator Librarian/Curator Loan/Escrow Process Manager Marketing Researcher Mathematician Mayor/City Manager Meter Reader Military E1 - E4 Military E5-E9 Military Officer Mortician Network Admin Nurse - C.N.A. Nurse - RN Officer-Warrant Optometrist Other Paralegal/Law Clerk Paramedic/EM Tech Park Ranger Pharmacist Pilot/Capt/Eng Planner Plumber Police Offcr/Supvr Postmaster Printer/Bookbinder ProducerProducer Product Manager Programmer Project Coordinator Quality Control Ranger Realtor Receptionist/Sec Regulator Research Prog. Dir Researcher Retired Sales Rep Scientist Shoemaker Social Worker Sociologist Sports Brdcstr/Journ Student Superintendent Support Technician Surveyor/Mapmaker Systems Security Tailor/Custom Sewer Teacher Teaching Asst/Aide Technical Writer Technician Therapist Ticket Agent Ticket Sales/Usher Trainer/Instructor Tutor Umpire/Referee Underwriter Unemployed Upholsterer US Postal Worker Valet Veterinarian Web Developer Wine Steward  Have you had?  DUI/DWI  License Suspension  SR-22  How many violations claims have you had in last 3 years? Select 0 1 2 3 4 5 6 7 8 9+ Primary Driver  Primary Driver of this Vehicle Driver 1 Driver 2 Car 1 Details  Vehicle year Prior to 1981 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011  Vehicle Make  Vehicle Model  Main usage of car Commute to Work less than 5 miles Commute to Work 5-10 miles Commute to Work 11-20 miles Commute to Work more than 20 miles Commute to School less than 5 miles Commute to School 5-10 miles" class Commute to School 11-20 miles Commute to School more than 20 miles Business (Individual) Business (Corporate Farm  Estimated Annual Usage (in miles)  Desired Comprehensive Deductible $50 $100 $250 $500 $750 $1.000 $2.500 $5.000 Other  Desired Collision Deductible $50 $100 $250 $500 $1.000 None  Is this car Leased or Owned?  Owned  Financed  Leased  Does this car have any of the following safety  features that may qualify for discounts?  Anti-Theft Device  Anti-Lock Brakes (ABS)  4-Wheel Drive  None of the Above Car 2 Details (optional)  Vehicle Year No Second Car Prior to 1981 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011  Vehicle Make  Vehicle Model  Main Usage of Car N/A Commute to Work less than 5 miles Commute to Work 5-10 miles Commute to Work 11-20 miles Commute to Work more than 20 miles Commute to School less than 5 miles Commute to School 5-10 miles" class Commute to School 11-20 miles Commute to School more than 20 miles Business (Individual) Business (Corporate Farm  Estimated Annual Usage (in miles)  Desired Comprehensive Deductible N/A $50 $100 $250 $500 $750 $1.000 $2.500 $5.000 Other  Desired Collision Deductible N/A $50 $100 $250 $500 $1.000 None  Is this car Leased or Owned?  Owned  Financed  Leased Does this car have any of the following safety features that may qualify for discounts?  Anti-Theft Device  Anti-Lock Brakes (ABS)  4-Wheel Drive  None of the Above