Littman Insurance, Serving the Insurance Needs of Michigan, Illinois, and Indiana Residents and Businesses
Meeting the Insurance Needs of Michigan, Illinois and Indiana Residents & Businesses for over 20 Years!
 
Our Personal Lines Markets
Personal Auto Insurance

Motorcycle Insurance

Homeowners Insurance

Renter's Insurance

Boat Insurance

Life Insurance

Health Insurance


Our Commercial Lines Markets
Business Owners Insurance

General Liability

Commercial Property

Franchise Motel Program

Commercial Automobile

Workers Compensation

Surety & Fidelity Bonds

Builder's Risk Insurance


Our Insurance Services
Service My Account

Our Privacy Notice

More About Our Agency

Office Map/Driving Directions

E-Mail Us

The Littman Agency Offers You a Satisfaction Guarantee!

   
On-Line Renters
Insurance Quote Form
One Simple Form - takes only 2-3 Minutes!


Your Personal Data:
 
Your Name:
Property Address:
City:
State:
Zip/Postal:
E-Mail (REQUIRED):
E-Mail (again for accuracy):
Phone:
Fax (optional):
 
Dwelling Information
 
Year Dwelling Built:
Home Square footage:
 
# Units in common bldg.:
 
Type Roof: Shingle Wood Shake
Tar/Gravel Spanish Tile
 
Number of stories: One Two
Three 4+
 
Do you own animals or pets? Yes No
If yes, list type/for dogs, list breed:
 
Are You Near Brush Area? Yes No
 
# of feet to nearest
fire hydrant:
# of miles to nearest
fire station:
 
Currently Insured? Yes No
Name of Carrier & how long insured?
 
Prior Claims? Yes No
Describe claims in detail:
 
Plumbing type: Copper Galvanized
Mixed (Copper/Galvanized)
 
Circuit Breakers or fuses? Breakers Fuses


# Fireplaces: # Chimneys:
 
Special features
(i.e., deck, air conditioning, alarm systems, pool, etc.)
 
Coverages:
 
Contents $ Loss of Use $
Liability Cov. $ Deductible $
($250, $500, $1,000, etc.)
 
Comments/Remarks
(describe any scheduled jewelry, in-home business, or other special coverages needed here):
 
Send my quotation via: E-Mail Fax
Regular Mail
Call me by Phone

Thank you for filling out this form COMPLETELY!

We value your input as PRIVATE information. Every step has been taken to insure your privacy, security, and our intent is to release quote information only to you. We will not give your data to ANY other person or group for sales, marketing, or ANY other purposes. By checking the box below you agree to allow our agency to release this information via the method you have chosen, and to release us from any liability should this information be accidentally viewed by others. Our intention is to maintain your complete privacy.

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The Littman Insurance Agency | 1200 E. Chicago | Sturgis, MI 49091
Toll Free Phone: 1-800-431-8873 | Phone: 1-269-651-6311 | Fax: 1-269-651-2925
Our Normal Office Hours are: 9:00 to 5:00, Weekdays. | View Our Privacy Notice
Email Us: tim@littmaninsurance.com | Website Design © 2006, Insurance Web Sales