Customer Service

We've achieved many goals over the years at Jake A. Parrott Insurance, Inc., but satisfied clients are what we cherish most. Jake A. Parrott Insurance, Inc. is a firm of caring and conscientious people; the kind of people you can depend on. We serve every facet of our clients' insurance requirements while developing strong, long-term relationships built on trust. Our staff will take the time to understand your individual needs.

Fulfilling Your Needs

No two customers are the same; each has their specific insurance requirements. That's why the staff at Jake A. Parrott Insurance, Inc. takes the time to understand each client's concerns. Our primary objectives are to be honest and fair in all of our dealings, to be interested in people and their problems, and to treat the client's needs as though they were our own. We provide options specifically designed to cover your losses and control insurance costs. We would like to become part of your insurance program and participate in the planned growth of your future.

 
Life Insurance Quote
 
NC RESIDENTS ONLY!
 
Contact Information...
 
Name (Required): 
Address:
Address (2nd Line):
City: State:   Zip:
 
Please Contact me via:   Phone E-Mail Fax
Work Phone: 
Home Phone:
Fax:
E-Mail (Required):
Best Time to Call: (Time and AM/PM)
 
Current Insurance Information...
Current Insurance Company (Not Agency)
Date Current Policy Expires:  (mm/dd/yy)
Personal Information:
Date of Birth:    (mm/dd/yy)
Gender:  Male  Female
Height: 
Weight: 
Spouse Information (If spouse is to be included on the quote)
Spouse's Name:    (mm/dd/yy)
Date of Birth: 
Gender  Male  Female
Height: 
Weight:   
Coverage Information
Requesting: 
Amount of Coverage: 
Type of Coverage: 
Period of Coverage: (Term Insurance Only)
Medical Background
Have you used any form of tobacco products? (cigarettes, pipe, chew, nicotine gum, or patches) Past 60 Months  Yes No 

Past 36 Months  Yes No 

Have you ever been rated or declined for life insurance? Yes   No 
If So, Why?
Have you ever been treated for high blood pressure or cholesterol? Yes   No 
Has any member of your family (parent or sibling) died from coronary artery disease prior to age 60? Yes   No 
Is there a family history of colon or prostate cancer (for male applicant) or breast, ovarian, or colon cancer (female applicant) in a parent or sibling prior to age 60? Yes No 
Are you currently taking or have you been advised to take any prescription medications? Yes No 
If So, what type and why? 
Have you had a DUI/reckless driving conviction in the past 5 years or 3 moving violations in the past 3 years? Yes No 
 

This is a Request for a Quotation Only.

No Coverage is in effect until bound by an insurance carrier.  You must speak to a licensed representative to bind coverage.
 

        

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Teamwork

Our team of professionals is committed to service and will work with you to provide the comprehensive and personalized attention you deserve. Our team can provide you with a complete analysis of your insurance needs. From the initial contact made with the professionals at Jake A. Parrott Insurance, Inc., you can be assured of quality service. Our years of experience have given us the proved skills to produce desired results.

We Work for You

We do not work for an insurance company; we work for you. We work on your side when you have a loss and follow through to see that you get fair, prompt payment.

We represent a carefully selected group of financially sound, reputable insurance companies and we place your policy with the company offering the best coverage at a competitive price.

 

 

 

©2006 Jake A Parrott Insurance Agency Inc.