top of page

Auto Quote Request

Gender
Marital Status
SR-22
Yes
No
DUI
Yes
No
Suspension
Yes
No
Birthday
Month
Day
Year
Credit
Home Owner?

Existing Coverage

Insured?

Vehicle

Ownership
Garage

“In connection with this application for insurance, Farmers may review your and your spouse’s credit report or obtain or use a credit-based insurance score based on the information contained in that credit report. We may use third parties in connection with the development of your insurance scores based on data from traditional credit bureaus and the National Consumer Telecom & Utilities Exchange database.”


Also, do you consent for Farmers entities: (1) to access any available driving scores from a third party based on vehicle telematics data, (2) to use any consumer report information their affiliates might currently have for you for this transaction, and (3) to share consumer report information from this transaction with their affiliates to quote other products?

bottom of page