Business Insurance Quote

Answer what you can. A few questions near the top decide which sections you see, so you'll only fill out what actually applies to your business.

If you already have business insurance

Call the 1-800 customer service number on your insurance card or bill, and ask them to email you PDF copies of these two things:

Five-year loss runs for all policies
Current declarations pages for all policies

Ask specifically for PDFs — a screenshot or a portal login doesn't give underwriters what they need. You'll be able to upload them right after you submit this form, or email them to rich@avantigrp.org whenever they arrive.

Don't wait on these to fill out the form. Go ahead and complete everything below right now. A carrier can take a few days to send these over, and there's no reason for that to hold up your quote — we'll start working on it the moment you submit.

Business Information

Company Legal Name

DBA / Trade Name, if different

FEIN #

Entity Type

Date Business Started

Website

Mailing Address

Street Address

City

State

Zip Code

Physical Location

Is your physical location the same as your mailing address?

Best Day-to-Day Contact

Name

Cell Phone

Email Address

Owners

Carriers verify each owner individually, so we need the same details for everyone with an ownership stake.

How many owners does the business have?

Owner #1

Full Legal Name

Date of Birth

Driver's License Number

Percent of Ownership

Email Address

Cell Phone

What Your Business Does

This does more work than any other answer on the form — it decides your class code, which decides your rate.

Complete description of operations

What do you actually do, start to finish? If you do it at all — even if it's a small part of what you do — mention it. More detail is better.

Tell Us How You Operate

Each answer opens or closes a section below. Nothing you don't need will appear.

Is this a new venture or an established business?

Do you have any W-2 employees?

Do you own or lease the property you operate from?

Do any tools, equipment or materials leave your business location?

Do you own, lease or drive any vehicles for the business?

Do you hire subcontractors or 1099 labor?

Operations & General Liability

I don't want general liability quoted

Projected gross sales — next 12 months

If you have multiple specialties, break the sales down by specialty

Do customers or clients come to your location?

Do clients pay you for your expertise, advice or professional judgment?

Other Exposures

Do you store customer information or take payments electronically?

Would the business struggle if an owner or key employee died or became disabled?

Anything here you'd like priced or reviewed? No commitment.

Current Insurance & Loss History

Are you currently insured?

Any claims in the past five years?

Is there anything about your business we haven't asked about?

Plans to expand, a new service line, a contract you're bidding, a claim that worries you — anything.

How'd you hear about us?