Insurance 4 USA

Insurance Leads | Agent Login
If you are searching for an Insurance Quote, begin here
quoteheader

Agent Sign Up
Lead Program Details
Lead Program FAQ
Testimonials

insurance quotes Lead Samples
Auto Insurance
Life Insurance
Home Insurance
Business Insurance
Health Insurance
Group Health Insurance
Long Term Care
Disability Insurance
Annuity Quotes
 
Do business with a reputable lead provider

Auto Insurance Lead Sample

We have been providing auto insurance leads to agents since the day our service was formed (back in 1999). Our auto insurance lead forms provide a great deal of information about the cars in the household, the drivers, and the current policy information. The auto quote form supports up to 4 vehicles and 4 drivers and is very extensive. The required fields include all contact information (including telephone and email). We have optional contact fields for an alternate phone.

The auto insurance quote form requires at least one car and one driver. We ask for the DOB, years licensed, drivers license number and violation/accident history. These fields are not required, but are usually complete. Prior insurance coverage information is requested and we find that most quote requests do include as much information as the consumer has at hand. Many will shop with their current policy in hand and will include this information with the lead request.

Personal information has been removed (****) from this lead for privacy reasons.

Auto insurance lead sample.

This quote request was received: 09/30/2003.

Name: ****
Address: ****
City, State Zip: MESA, AZ 85210
Own or Rent: Own
Phone: (480) ****
Alternate Phone:
EMail: ****

Number of Vehicles: 2
Number of Drivers: 2
How would you describe your credit: Average

VEHICLE INFORMATION
VEHICLE 1:
1995 SATURN SL
VIN: ****
OWN OR LEASE: Own
USE: Commute
MILES TO WORK: 6
PASSIVE REStrAINTS: DualAirBags
ABS: Yes
ALARM: none
DAYTIME RUNNING LIGHTS: Yes
VIN ETCHING: No
VEHICLE 2:
2000 CHEVROLET CAVALIER
VIN: ****
OWN OR LEASE: Own
USE: Work
MILES TO WORK: 6
DISCOUNTS:
PASSIVE REStrAINTS: DualAirBags
ABS: Yes
ALARM: Active
DAYTIME RUNNING LIGHTS: Yes
VIN ETCHING: No

COVERAGE INFORMATION:
Current Company: NATIONWIDE
Expiration Date: 09/24/03
Current Premium: 975
How Long With Current Company: 2 YEARS
BI Liability: 100/300
PD Liability: 100
UM/SUM: 100/300
PIP: Unsure
Med Pay: 5000

PHYSICAL DAMAGE:
1995 SATURN SL
COLLISION: 200 / COMPREHENSIVE: 200g
RENTAL: none / TOWING: none
-----------------------------
2000 CHEVROLET CAVALIER
COLLISION: 200 / COMPREHENSIVE: 200g
RENTAL: none / TOWING: none

OPERATOR INFORMATION:
OPERATOR 1:
OPERATES: 1995 SATURN
NAME: MICHAEL
DOB: DOB: XX/XX//1971
GENDER: M
LICENSE NUMBER: ****, STATE LICENSED: AZ, YEARS LICENSED: 15
SS NUMBER: ****
MARITAL STATUS: Married
DEFENSIVE DRIVING: no
DRIVER'S ED: yes
NUMBER OF AF ACCIDENTS: 0
NUMBER OF VIOLATIONS: 0
-----------------------------
OPERATOR 2:
OPERATES: 1995 SATURN
NAME: ****
DOB: DOB: XX/XX//1979
GENDER: F
LICENSE NUMBER: **** , STATE LICENSED: AZ, YEARS LICENSED: 6
SS NUMBER: ****
MARITAL STATUS: Married
DEFENSIVE DRIVING: no
DRIVER'S ED: no
NUMBER OF AF ACCIDENTS: 0
NUMBER OF VIOLATIONS: 0

ADDITIONAL REMARKS: I prefer to be contacted by phone.

footer

Site Map | About | Contact | Insurance Affiliate Program | FAQ

footer

Copyright 2000-2006 Insurance4USA.com™. All rights reserved. Privacy Policy | Legal
Insurance4USA.com, Inc., 3959 North Buffalo Road, Orchard Park, New York 14127