Spouse Name (If Any)

Auto Insurance info

Click the + button on the right side to add multiple vehicles.
Year Make and Model of Vehicles 🚗🚘
Additional Drivers 👨‍🦰👨🏾👩🏻👦🏾
Please list all household drivers. Click the + sign to add multiples

Property Insurance Info

Approximate is fine if you are not sure
Please do not include basement unless there is legal livable space. I.E Walkout basements / egress windows.
Select from the dropdown
Select from the dropdown
Select from the dropdown which is PRIMARY
Please give best estimate. If recently updated what year?
Select any applicable 🥽🩲🏊🏾‍♀️👙
Dog Breed 🐶🐕🐩🐕‍🦺
Some companies require that we list the type of dogs in the home. If you have a dog in the home please list the breed. Click the + to add additional dogs
Pics of your Pets! 🐶🐱🦎🐦🐔🐍🐭
We randomly choose clients pets to send treat boxes to. If you are interested please post pics of your pets!
Accepted file types: jpg, jpeg, png, gif.
Which do you own? 🏍❄🚤⛵⛺
Please add any additional info you would like to add as well as any claims info for insurance claims filed in last 5 years for both auto and home, if any.

Would You Like Us To Review Your Policies?

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Are you ready to save time, aggravation, and money? The team at MIAFS is here and ready to make the process as painless as possible. We look forward to meeting you!

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