Get a Quote - Automobile

Step 1 of 3 - Basic Info and Coverages
 

Please enter the following information and click "Continue" at bottom.

Note: To complete this quote request you will need the information below, plus the make, model and license number of each vehicle, plus basic information on each driver.

Basic Information  
Full Name:

Address Line 1:
Address Line 2:
City:
State:
Zip:
Phone:
Email Address:
   
Coverages  
Bodily Injury Liability:
Property Damage Liability:
Medical Payments:
Uninsured Motorist Liability:
Underinsured Motorist Liability:
Comprehensive Deductible:
Collision Deductible:
Rental Reimbursement:
Towing & Labor:
   
Current Insurance  
Do you currently have automobile insurance? Yes No
If yes, provide the following information:
Company Name:
Renewal Date:
Your Current Annual Premium:
   

 

 

 

 
Franklin Insurance

104 13th Street
Franklin, PA 16323
(814) 432-4523 - (800) 346-8714
(814) 432-8644 (fax)

  Titusville Insurance

314 South Franklin Street, Suite D-1
Titusville, PA 16354
(814) 827-8888
(814) 827-3557 (fax)

© 2006 - Franklin Insurance Agency, Inc.