Fika Insurance- Save Time & Money With Free Car Insurance Quotes.

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Zip Code *

Where would you like us to send a copy of your quote?

Please provide us both your email and phone to receive your customized quote

Email *

Phone *

Tell us about the primary driver.

This information is necessary to provide an accurate quote.

Name *

First

Last

Date Of Birth *

What is the primary driver’s gender?

Driver's Gender *

Female
Male

What is the primary driver’s marital status?

Relationship status may affect insurance rates in some states.

Marital *

Married
Single
Separated
Divorced
Widowed
Domestic Partnership

What does the primary driver do for a living?

Primary Driver Industry *

Homemaker Occupation *

Retired Occupation *

Disabled Occupation *

Unemployed Occupation *

Student Occupation *

Agriculture/Forestry/Fishing Occupation *

Art/Design/Media Occupation *

Banking/Finance/Real Estate Occupation *

Business/Sales/Office Occupation *

Construction/Energy Trades Occupation *

Education/Library Occupation *

Engineer/Architect/Science/Math Occupation *

Government/Military Occupation *

Information Technology Occupation *

Insurance Occupation *

Legal/Law Enforcement/Security Occupation *

Maintenance/Repair/Housekeeping Occupation *

Manufacturing/Production Occupation *

Medical/Social Services/Religion Occupation *

Personal Care/Service Occupation *

Restaurant/Hotel Services Occupation *

Sports/Recreation Occupation *

Travel/Transportation/Warehousing Occupation *

Other Occupation *

Education Level Discount

Select the highest level of education for the insured and spouse. A discount may be earned based on their highest level of education.

What is the primary driver license information

If you don’t have this information, please skip this part

Driver's License Number

License State *

Have you had insurance for the past 6 months?

Please answer no if your insurance was cancelled, stopped or inactive at point in the past 6 months

Insurance in Last 6 months *

When does your insurance expire?

Who do you currently have insurance with?

Insurance Coverage Expiration Date

Insurance Company *

Have you had any violations, accidents, or damage claims in the last 6 years??

If the answer is yes, don’t sweat it! We’ll follow up with you to get the details to ensure you still get the best rate.

Any accidents, violations or Damage in Last 6 years *

Upload your current coverage information.

If you don't have it, no sweat! We’ll follow up with you to get the details to ensure you still get the best coverage. Skip to next question

Prior Policy Pages

Click or drag a file to this area to upload.

What is your home address?

Please select type of home in the dropdown menu?

Home Address *

Address Line 1

Address Line 2

City

State

Zip Code

Home Type *

How many additional drivers are in the household

If you are married, you must include your spouse

Number of Additional Drivers *

Tell us about your additional driver

Household driver #2

Driver 2 *

First

Last

Driver 2 Date Of Birth *

Driver 2 Gender *

Female
Male

Driver 2 License Number

Driver 2 License State *

Driver 2 Industry *

Homemaker Occupation *

Retired Occupation *

Disabled Occupation *

Unemployed Occupation *

Student Occupation *

Agriculture/Forestry/Fishing Occupation *

Art/Design/Media Occupation *

Banking/Finance/Real Estate Occupation *

Business/Sales/Office Occupation *

Construction/Energy Trades Occupation *

Education/Library Occupation *

Engineer/Architect/Science/Math Occupation *

Government/Military Occupation *

Information Technology Occupation *

Insurance Occupation *

Legal/Law Enforcement/Security Occupation *

Maintenance/Repair/Housekeeping Occupation *

Manufacturing/Production Occupation *

Medical/Social Services/Religion Occupation *

Personal Care/Service Occupation *

Restaurant/Hotel Services Occupation *

Sports/Recreation Occupation *

Travel/Transportation/Warehousing Occupation *

Other Occupation *

Education Level Discount

Select the highest level of education for the insured and spouse. A discount may be earned based on their highest level of education.

Good Student Discount

Discount for qualified students who meet the following criteria: Driver must be rated and not the Named Insured or Spouse Driver must be a full-time student younger than 23 years of age Driver must have a Grade Point Average (GPA) of 3.0 or better ('B' Average) or top 20% of their class In lieu of a 3.0 GPA, the student may qualify by scoring in the upper 20th percentile on standardized tests (PSAT, PACT, SAT, ACT, IA, CA Achievement or Tap)

Tell us about your additional driver

Household driver #3

Driver 3 *

First

Last

Driver 3 Date Of Birth

Driver 3 Gender *

Female
Male

Driver 3 License Number

Driver 3 License State *

Driver 3 Industry *

Homemaker Occupation *

Retired Occupation *

Disabled Occupation *

Unemployed Occupation *

Student Occupation *

Agriculture/Forestry/Fishing Occupation *

Art/Design/Media Occupation *

Banking/Finance/Real Estate Occupation *

Business/Sales/Office Occupation *

Construction/Energy Trades Occupation *

Education/Library Occupation *

Engineer/Architect/Science/Math Occupation *

Government/Military Occupation *

Information Technology Occupation *

Insurance Occupation *

Legal/Law Enforcement/Security Occupation *

Maintenance/Repair/Housekeeping Occupation *

Manufacturing/Production Occupation *

Medical/Social Services/Religion Occupation *

Personal Care/Service Occupation *

Restaurant/Hotel Services Occupation *

Sports/Recreation Occupation *

Travel/Transportation/Warehousing Occupation *

Other Occupation *

Education Level Discount

Select the highest level of education for the insured and spouse. A discount may be earned based on their highest level of education.

Good Student Discount

Tell us about your additional driver

Household driver #4

Driver 4 *

First

Last

Driver 4 Date Of Birth *

Driver 4 Gender *

Female
Male

Driver 4 License Number

Driver 4 License State *

Driver 4 Industry *

Homemaker Occupation *

Retired Occupation *

Disabled Occupation *

Unemployed Occupation *

Student Occupation *

Agriculture/Forestry/Fishing Occupation *

Art/Design/Media Occupation *

Banking/Finance/Real Estate Occupation *

Business/Sales/Office Occupation *

Construction/Energy Trades Occupation *

Education/Library Occupation *

Engineer/Architect/Science/Math Occupation *

Government/Military Occupation *

Information Technology Occupation *

Insurance Occupation *

Legal/Law Enforcement/Security Occupation *

Maintenance/Repair/Housekeeping Occupation *

Manufacturing/Production Occupation *

Medical/Social Services/Religion Occupation *

Personal Care/Service Occupation *

Restaurant/Hotel Services Occupation *

Sports/Recreation Occupation *

Travel/Transportation/Warehousing Occupation *

Other Occupation *

Education Level Discount

Select the highest level of education for the insured and spouse. A discount may be earned based on their highest level of education.

Good Student Discount

Tell us about your additional driver

Household driver #5

Driver 5 *

First

Last

Driver 5 Date Of Birth *

Driver 5 Gender *

Female
Male

Driver 5 License Number

Driver 5 License State *

Driver 5 Industry *

Homemaker Occupation *

Retired Occupation *

Disabled Occupation *

Unemployed Occupation *

Student Occupation *

Agriculture/Forestry/Fishing Occupation *

Art/Design/Media Occupation *

Banking/Finance/Real Estate Occupation *

Business/Sales/Office Occupation *

Construction/Energy Trades Occupation *

Education/Library Occupation *

Engineer/Architect/Science/Math Occupation *

Government/Military Occupation *

Information Technology Occupation *

Insurance Occupation *

Legal/Law Enforcement/Security Occupation *

Maintenance/Repair/Housekeeping Occupation *

Manufacturing/Production Occupation *

Medical/Social Services/Religion Occupation *

Personal Care/Service Occupation *

Restaurant/Hotel Services Occupation *

Sports/Recreation Occupation *

Travel/Transportation/Warehousing Occupation *

Other Occupation *

Education Level Discount

Select the highest level of education for the insured and spouse. A discount may be earned based on their highest level of education.

Good Student Discount

How many vehicles will need insurance

Number Of Vehicles To be Insurance

Please tell us a little about car #1

What's the year, make, and model of the vehicle?

Primary Car Vin Number *

Primary Car Vehicle Year

Primary Car Make

Primary Car Model

Please tell us a little more about vehicle?#1

How do you use the vehicle?

Primary Car Use

Primary Car Ownership Type

Primary Car Commute Miles On Way

Primary Car Estimated Yearly Miles

Please tell us a little about car #2

What's the year, make, and model of the vehicle?

Car #2 Vin Number *

Car #2 Vehicle Year

Car #2 Make

Car #2 Model

Please tell us a little more about car #2.

How do you use the vehicle?

Car #2 Use

Car #2 Ownership Type

Car #2 Commute Miles On Way

Car #2 Estimated Yearly Miles

Please tell us a little about car #3

What's the year, make, and model of the vehicle?

Car #3 Vin Number *

Car #3 Vehicle Year

Car #3 Make

Car #3 Model

Please tell us a little more about car #3.

How do you use the vehicle?

Car #3 Use

Car #3 Ownership Type

Car #3 Commute Miles On Way

Car #3 Estimated Yearly Miles

Please tell us a little about car #4

What's the year, make, and model of the vehicle?

Car #4 Vin Number *

Car #4 Vehicle Year

Car #4 Make

Car #4 Model

Please tell us a little more about car #4.

How do you use the vehicle?

Used

Car #4 Ownership Type

Car #4 Commute Miles On Way

Car #4 Estimated Yearly Miles

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