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.

 
Personal Automobile 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)
Vehicle #1
Make of Vehicle: 
Model of Vehicle: 
Year: 
Body Style (2dr/4dr):
VIN: 
Number of Cylinders: 
Is Car Driven to Work?  Yes  No
Is Car Driven to School?  Yes  No
If Yes to either above, how many miles one way? 
How many days per week? 
Is Car used for a Business? Yes  No
Does Vehicle Have any of the following discounts?
Driver Airbag    Passive Restraint  Daytime Lights
Passenger Airbag  Anti-Lock Brakes  Active Anti-Theft
Passive Anti-Theft  Electronic Tracking  VIN Etching
Your Coverage Options (Liability limit applies to all vehicles on the policy):
Bodily Injury:(per individual/per accident)
Property Damage:
Medical Payments Coverage:
Combined Uninsured and Underinsured Motorists
Collision Deductible: 
Comprehensive Deductible: 
Transportation Option:
Towing (Per Incident): 
Vehicle #2
Make of Vehicle: 
Model of Vehicle: 
Year: 
Body Style (2dr/4dr):
VIN: 
Number of Cylinders: 
Is Car Driven to Work?  Yes  No
Is Car Driven to School?  Yes  No
If Yes to either above, how many miles one way? 
How many days per week? 
Is Car used for a Business? Yes  No
Does Vehicle Have any of the following discounts?
Driver Airbag    Passive Restraint  Daytime Lights
Passenger Airbag  Anti-Lock Brakes  Active Anti-Theft
Passive Anti-Theft  Electronic Tracking  VIN Etching
Your Coverage Options on this vehicle:
Collision Deductible: 
Comprehensive Deductible: 
Transportation Option:
Towing (Per Incident): 
Vehicle #3
Make of Vehicle: 
Model of Vehicle: 
Year: 
Body Style (2dr/4dr):
VIN: 
Number of Cylinders: 
Is Car Driven to Work?  Yes  No
Is Car Driven to School?  Yes  No
If Yes to either above, how many miles one way? 
How many days per week? 
Is Car used for a Business? Yes  No
Does Vehicle Have any of the following discounts?
Driver Airbag    Passive Restraint  Daytime Lights
Passenger Airbag  Anti-Lock Brakes  Active Anti-Theft
Passive Anti-Theft  Electronic Tracking  VIN Etching
Your Coverage Options on this vehicle:
Collision Deductible: 
Comprehensive Deductible: 
Transportation Option:
Towing (Per Incident): 
Vehicle #4
Make of Vehicle: 
Model of Vehicle: 
Year: 
Body Style (2dr/4dr):
VIN: 
Number of Cylinders: 
Is Car Driven to Work?  Yes  No
Is Car Driven to School?  Yes  No
If Yes to either above, how many miles one way? 
How many days per week? 
Is Car used for a Business? Yes  No
Does Vehicle Have any of the following discounts?
Driver Airbag    Passive Restraint  Daytime Lights
Passenger Airbag  Anti-Lock Brakes  Active Anti-Theft
Passive Anti-Theft  Electronic Tracking  VIN Etching
Your Coverage Options on this vehicle: 
Collision Deductible: 
Comprehensive Deductible: 
Transportation Option:
Towing (Per Incident): 
Your Drivers:
Driver 1 Name:  Date of Birth:
Driver 2 Name:  Date of Birth:
Driver 3 Name:  Date of Birth:
Driver 4 Name:  Date of Birth:
 
Driver 1 Sex:  M  F    Martial Status: 
Driver 2 Sex:  M  F    Martial Status: 
Driver 3 Sex:  M  F    Martial Status: 
Driver 4 Sex:  M  F    Martial Status: 
 
Driver 1 License Number:    State: 
Driver 2 License Number:    State: 
Driver 3 License Number:    State: 
Driver 4 License Number:    State: 
 
Driver 1 Car Driven Most Frequently: 
Driver 2 Car Driven Most Frequently: 
Driver 3 Car Driven Most Frequently: 
Driver 4 Car Driven Most Frequently: 
 

Accidents & Ticket Information (Please describe in Detail)
Driver 1 
Driver 2 
Driver 3 
Driver 4 
 

Questions, Comments, or Concerns:
 

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.