1000 Liberty Road
Suite 100
Eldersburg, MD 21784
(410) 781-4672
(410) 795-2000
(888) 550-3858
 
  Monday- Thursday:
9:00am - 5:30pm
  Friday:
8:30am - 5:00pm
  After Hours by Appointment
 
 

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GET AN INSTANT ERIE AUTO QUOTE		 Auto Insurance Quote
GET AN INSTANT SAFECO AUTO QUOTE

This useful PDF Accident Report Guide gives you instructions on what to do if you're involved in an auto accident.

For quotes and to discuss your insurance options, please contact us today, or fill out the secure form below: 

If you would prefer to give the more detailed information to us over the phone, please fill out the highlighted areas only and we'll give you a call:

Name
Physical Address
City   State   Zip

Mailing Address
City   State   Zip

Home Phone
  Work Phone

Best time to call:
Email

 
Have you had continuous coverage for at least 12 months?
Yes No
 
If not, why not?
 
Present Auto Insurance Company
Renewal Date
Own Home? Yes No


Car#1
Year Make Model
2dr/4dr Miles to Work (one way) Annual Mileage
Type of Anti-Theft Device on Vehicle
Vin #


Car#2
Year Make Model
2dr/4dr Miles to Work (one way) Annual Mileage
Type of Anti-Theft Device on Vehicle
Vin #


Car#3
Year Make Model
2dr/4dr Miles to Work (one way) Annual Mileage
Type of Anti-Theft Device on Vehicle
Vin #


Driver #1 Information
Driver Name
Occupation
Business
Length at Current job
Highest Level of Education
Date of Birth
Drivers License Number
Social Security Number"
Many of the companies we represent request this information prior to quoting.
Gender:
Male
Female
Marital Status
Moving Violations in Last 3 Years 0123
Please provide the date and a brief description of each violation.
Accidents in Last 3 Years 0123
Please provide the date and a brief description of each accident.


Driver #2 Information
Driver Name
Occupation
Business
Length at Current job
Highest Level of Education
Date of Birth
Drivers License Number
Social Security Number"
Many of the companies we represent require this information prior to quoting.
Gender:
Male
Female
Marital Status
Moving Violations in Last 3 Years 0123
Please provide the date and a brief description of each violation.
Accidents in Last 3 Years 0123
Please provide the date and a brief description of each accident.


Driver #3 Information
Driver Name
Occupation
Business
Length at Current job
Highest Level of Education
Date of Birth
Drivers License Number
Social Security Number"
Many of the companies we represent require this information prior to quoting.
Gender:
Male
Female
Marital Status
Moving Violations in Last 3 Years 0123
Please provide the date and a brief description of each violation.
Accidents in Last 3 Years 0123
Please provide the date and a brief description of each accident.


Liability Limit for All Cars
Choose either Bodily Injury & Property Damage OR Single Limit
Bodily Injury Property Damage Single Limit  
choose one
25,000/50,000 25,000 50,000
50,000/100,000 50,000 100,000
100,000/300,000 100,000 300,000
250,000/500,000 500,000 500,000
Levels of current Uninsured Motorist coverage


Car #1
Deductible Comprehensive 0 50 100 250 500  1000
Deductible Collision 250 500 1000      
Tow Yes      
Loss of Use Yes      


Car #2
Deductible Comprehensive 0 50 100 250 500  1000
Deductible Collision 250 500 1000      
Tow Yes      
Loss of Use Yes      


Car #3
Deductible Comprehensive 0 50 100 250 500  1000
Deductible Collision 250 500 1000      
Tow Yes      
Loss of Use Yes      
 Comments

To provide you with an accurate quote, our companies will use information obtained from consumer reporting agencies, such as driving records, claim and credit history. Please know that this website uses encrypted security to protect your information.  Our privacy policy states that we will not share this information with anyone outside of the companies to which we will submit your information for quote.

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Freedom Insurance Agency, Inc.
1000 Liberty Road, Suite 100, Eldersburg, MD 21784.
(410) 781-4672, (410) 795-2000, (888) 550-3858.