Select the type of insurance quote your interested in having J. C. Morris Agency give you. This will bring you directly to the form for that insurance. Please be sure to be as accurate as possible. Please note that communication by e-mail does not constitute an offer of insurance. No coverage is in effect until approved by the company / agent.
 

Auto

Recreational

Home

Business

Life

 

If you would like to find out about J. C. Morris Agency come visit our main page HERE.

 

 

 

 

Insurance Quote Online  Automobile 

 

 

Quote Request Form

Fill out the preliminary form below and an agent will contact you.
Name
Address
City
State  Zip
Work Phone
Home Phone
E-mail

Present Insurance Company

Date Auto Insurance Expires
Do you own a home? Yes No
How long at your present address?
Car
#		  Year Make Model 2dr/4dr Miles to Work
(one way)		 Annual Miles

1

2

3
  Driver Name Driver Name Driver Name
 

Date of Birth
Sex
Marital Status
Occupation
Number of Tickets in Last 3 Years
Number of Accidents in Last 3 Years
Percent of Use  
Car #1
Car #2
Car #3
LIABILITY LIMIT FOR ALL CARS
Bodily Injury Property Damage Single Limit
(choose one)
$25,000/50,000 $25,000 $60,000
$50,000/100,000 $50,000 $100,000
$100,000/300,000 $100,000 $300,000
$250,000/500,000 $500,000 $500,000

Choose either Bodily Injury & Property Damage OR Single Limit
Car # Deductible
Comprehensive		 Deductible
Collision		 Tow Loss of Use
1 $100 $250 $500 $250 $500 $1000 Yes Yes
2 $100 $250 $500 $250 $500 $1000 Yes Yes
3 $100 250 $500 $250 $500 $1000 Yes Yes

Please note that communication by e-mail
does not constitute an offer of insurance.
No coverage is in effect until approved by the company / agent.

 

 
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Insurance Quote Online  
Recreational Vehicles 

 

 

Quote Request Form

Fill out the preliminary form below and an agent will contact you. R/V refers to any of the following: snow machines, R/V,s, Boats, etc.
Name
Address
City
State  Zip
Work Phone
Home Phone
E-mail

Present Insurance Company

Date Auto Insurance Expires
Do you own a home? Yes No
How long at your present address?
R/V
#		  Year Make Model 2dr/4dr Type of use
 Annual Miles

1

2

3
  Driver Name Driver Name Driver Name
 

Date of Birth
Sex
Marital Status
Occupation
Number of Tickets in Last 3 Years
Number of Accidents in Last 3 Years
Percent of Use  
R/V #1
R/V #2
R/V #3
LIABILITY LIMIT FOR ALL R/V's
Bodily Injury Property Damage Single Limit
(choose one)
$25,000/50,000 $25,000 $60,000
$50,000/100,000 $50,000 $100,000
$100,000/300,000 $100,000 $300,000
$250,000/500,000 $500,000 $500,000

Choose either Bodily Injury & Property Damage OR Single Limit
Car # Deductible
Comprehensive		 Deductible
Collision		 Tow Loss of Use
1 $100 $250 $500 $250 $500 $1000 Yes Yes
2 $100 $250 $500 $250 $500 $1000 Yes Yes
3 $100 250 $500 $250 $500 $1000 Yes Yes

Please note that communication by e-mail
does not constitute an offer of insurance.
No coverage is in effect until approved by the company / agent.

 

 
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Insurance Quote Online   Home Insurance

 

Home Insurance Quote Request

Fill out the preliminary form below and an agent will contact you.
Name
Address
City
State  Zip
Work
Phone
Home
Phone
E-mail
Present Home Insurance Co.
Home Now Insured For
Date Home Insurance Expires
How long at present job?
Occupation
How long at present address?
Number of claims in last 3 years?
Square footage of home excluding garage and basement?
Year home was built?
What is the name of your Fire Department Miles to Fire Dept?
 TYPE CONSTRUCTION FOUNDATION ROOF
1-Story
1 1/2-Story
2-Story
Split Level
Bi-Level		 Frame or Stucco
Masonry Veneer
Masonry		 Basement
Crawl Space
Slab		 Asphalt Shingle
Wood Shingle
Tile or Slate
Other
Age of Roof
GARAGE BATHROOMS OTHER FEATURES
1-Car
2-Car
3-Car
4-Car		 Attached
Detached
Basement
Built-in
Car Port		 # of Full

# of Half

 Central Air Cond.  
 Central Vacuum  
 Security System  
 Wet Bar  
 Whirlpool Tub  
FIREPLACES BASEMENT DECK, PORCH, PATIO
# of Chimneys  
# of Hearths  
Finished Yes No
Sq. Ft.
Deck sq. ft.
Porch sq. ft.
Screened
Patio sq. ft.

Please note that communication by e-mail
does not constitute an offer of insurance.
No coverage is in effect until approved by the company / agent.

 

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Insurance Quote Online  Business

Insurance Quote
By completing the form below, and submitting, you will qualify for a free insurance quote!

Select Type of Coverage:


Your Name:


Address:


City:

Type of Business:
 State,Zip Code:


Telephone Number:


Fax Number:


E-Mail Address:


(note: Your e-mail address will remain private with us)

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Insurance Quote Online  Life

Insurance Quote
By completing the form below, and submitting, you will qualify for a free insurance quote!

Select Type of Coverage:


Your Name:


Address:


City:

Age:
 State,Zip Code:


Telephone Number:


Fax Number:


E-Mail Address:


(note: Your e-mail address will remain private with us)

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Revised: October 15, 2003 .