The Compass Insurance Group - Waldoboro, ME

PLEASE READ THIS! We have many auto insurance carriers we sell insurance for. The above PROGRESSIVE link will give you a competitive INSTANT MAINE AUTO INSURANCE QUOTE.

This is a form with information we collect for an Automobile Insurance Quote.
If you call us we are going to need all of this information, so if you want to get the ball rolling just fill this out.
This is a secure form.
If you have a third vehicle please include the requested information in the comments section.
If you have a lienholder we will obtain that information when we contact you.
The VIN number is important because there are many different models to the same car and it does make a difference in the Insurance quote.
By submitting this quote request you agree to allow us if requested by the Insurance Company to review your driving history and your credit history. Both are almost always used in the quoting process.

First Name:
Last Name:
Email Address:
Living Arrangement
Address:
City:
State:
Zip Code:
Date of Birth:
ME Drivers License#
Social Security Number:
What is the best way to reach you?
Home Phone:
Cell Phone:
Work Phone:
Marital Status:
Comments:
Vehicle 1 Year
Vehicle 1 Make
Vehicle 1 Model
Vehicle 1 VIN#
Vehicle 1 USE
Present Insurance Company?
Policy Expiration Date:
Vehicle 2 Year
Vehicle 2 Make
Vehicle 2 Model
Vehicle 2 VIN#
Vehicle 2 USE
Coverage Requested:
Collision Deductible
Comprehensive Deductible
Liability Coverage BI / PD
Medical Payments
Input field
Comments:
Is there a Lienholder?
Do not enter anything in this field: