ALLIED INSURANCE AGENCY, INC.
12750 Merit Drive, Suite 730, LB 70
Dallas, TX 75251
Direct: 214-269-1560
Fax: 214-691-1622
Note: Some carriers may also ask for your birthdate, Social Security number, occupation and/or employer. However, because we take very seriously the threat of internet fraud and identity theft, we will never ask you to submit such information through an on-line application. If a carrier needs more information, we will call you directly at the phone number you provide to obtain it.
BASIC INFORMATION
"Everything in life is somewhere else, and you get there in a car."
E.B. WHITE
TELL US ABOUT YOUR CAR
YEAR
MAKE (Chevrolet, Ford, BWM, etc.)
MODEL (Impala, F150, 320i, etc.)
DRIVER
Note: The insurer will also want the car's Vehicle Identification Number (VIN) and, possibly, the driver's license number. Again, because we take very seriously the threat of internet fraud and identity theft, we will not ask you submit such information here. Upon receiving your application, we will call you to obtain them.
WHAT COVERAGE LIMITS DO YOU WANT?
BODILY INJURY/PHYSICAL DAMAGE
PERSONAL INJURY PROTECTION
DO YOU WANT UNINSURED/UNDERINSURED MOTORIST COVERAGE?
DO YOU WANT TOWING COVERAGE?
DO YOU WANT RENTAL COVERAGE?
DO YOU WANT ACCIDENTAL DEATH COVERAGE?
