Most Phone Quotes in Less Than 10 Minutes! 800-841-2723
Fast & Free Online Quotes
Complete our simple One-Screen Online Quote Forms (takes only 2 minutes!) and get a custom quote from all major insurance carriers. Choose the insurance plan that is best for you and your family, or select the service you need below:
We have auto insurance for every driver. Discounts as high as 37% for Good Driver and Multi car, and even more savings if we write your homeowners insurance too!
We also specialize in saving money for "unlucky drivers" who have had tickets, accidents, or have been canceled or non-renewed. Low monthly installment plans and easy coverage by phone and fax make our programs Convenient and Affordable.
Besides Auto Insurance, we have special programs for Motorcycles and Recreational Vehicles as well. Find out how much YOU can save, and request a FAST and FREE quote online today!
We have the most competitive homeowners plans, even on High Valued Homes, and can issue policies SAME DAY for your new home loan closings. Also, if we write your Auto Insurance too we save you an additional 20%!
If you are a Renter or a Condominium Owner, we can help. These policies are easy to purchase, VERY inexpensive, and can be started by phone/fax. Get a quote now:
• Condominium Quote
• Renters Quote
Contact Us 8:30am-5:00pm (M-F) at:
AtlasAutoHome.com
520 East 4th Street Royal Oak, MI 48067
Phone: 800-841-2723 | Fax: 248-291-8821
Email: quotes@atlasautohome.com
UNDERWRITING INFORMATION
Insured Name:
Birthdate:
Insured Height:
Insured Weight:
Spouse's Name:
Spouse's Birthdate:
Spouse's Height:
Spouse's Weight:
(M/F):
Include Spouse?:
Yes No
Include Children?:
Yes No
List children's names, (first & last), their relationship to you, and birthdates: (up to 6 children)
Be as specific as you can on the underwriting questions below so we may find the most competitive product for you!
Does any family member living
in the household use or has used any tobacco products? (if yes give
dates, and details in remarks section).
Yes
No
Describe usage (cigar, cigarettes, etc, and how long.)
Any Pre-existing Health Conditions?
(If yes, descibe in detail, and to which of the insured persons they apply.)
Any Covered Persons Currently Taking Medication of Any Kind?
(If yes, descibe in detail, and to which of the insured persons they apply.)
COVERAGE INFORMATION
Are You Looking for Coverage for more than 6 months?
What Deductible Are You Interested In? ($250, $500, $1000, $2000 etc.):
Any special coverages needed? (Maternity, H.M.O., P.P.O., etc.)
If you're looking to reduce premium
cost, and want information on the NEW HSA (Health Savings Plans),
check the HSA box here and we'll include information.
Please Include HSA Information
Tell Us What You Want MOST in your Health Plan, or list any other Remarks here:
Send my quotation via:
E-Mail Fax Regular Mail
Call me by Phone!
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COMPLETELY!
We value your input as PRIVATE information. Every step has been
taken to insure your privacy, security, and our intent is to release quote information only
to you. We will not give your data to ANY other person or group for sales, marketing,
or ANY other purposes. By checking the box below you agree to allow our agency to release this information via the method you have chosen, and to
release us from any liability should this information be accidentally viewed by others.
Our intention is to maintain your complete privacy.
Yes, I Agree.
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We have the most competitive homeowners plans, even on