Thank you for your interest in receiving an auto quote from Redding Insurance. This form should only take a few minutes to complete.

Import Your Coverage Details in Seconds

If you have a login to your current insurance provider, we can fill in the fields below for you automatically. Just click Import My Insurance below to securely transfer your current policy information. Clicking the button below will prompt you to select your current carrier and log into their portal. We'll take care of the rest!

How were you referred to us?*

Since we are family owned and appreciate referrals, we like to send referrals a gift card to say thank you.

Referral Friend or Family Name*

Referral Mortgage Broker Name*

Referral Realtor Name*

Name*

Insured First Name Insured Middle Name Insured Last Name

Email*

Mobile Phone*

Can we text you?*

Yes

No

Date of Birth*

Occupation*

Please specify other occupation

Date you want this policy to start*

Personal Information

Marital Status*

Children in household (under 18)*

Co-Insured Name*

First Last

Co-Insured Date of Birth*

Co-Insured Phone

Co-Insured Email

Co-Insured Occupation*

Co-Insured: Please specify other occupation

Property Information

Do you know when the roof, plumbing, electrical, or exterior paint was updated?*

No

Yes

I don't know

Year Roof Updated*

Year plumbing updated*

Year electrical updated*

Upload Current Policy

To better assist us in comparing your current coverage to our proposal, please upload a copy of your current homeowners policy.

Would you like to upload a copy of your current homeowners policy?*

Yes

No

Current Policy Upload*

You may upload up to 10 policy documents. Only .pdf file types accepted.

Drop files here or

Accepted file types: pdf, Max. file size: 10 MB, Max. files: 10.

More Property Info

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Do you have any pets?*

Yes

No

Please list all your pets. If you have dogs please list the breed(s).

Is there a trampoline on the property?*

No

Yes, with netting

Yes, without netting

Do you conduct business out of your home?*

Yes

No

Please describe your operations*

Do you have any items you would like to schedule?*

Most homeowners policies have limitations on the following types of personal property. You have the option to schedule (or add) these special items to your policy for higher coverage.

Examples of these types of items include: jewelry, furs, art, collectibles, cameras, computers, golfing equipment, guns, antiques, silverware, bicycles, coins, musical instruments.

No

Yes

Please describe your items

Last Step

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Is there anything you want us to know?

Do you want to maximize your home savings with an auto quote?*

Yes, I want an auto quote

No, not right now

Consent*

Like most insurance agencies, Redding Insurance uses information from you and other sources, such as your driving and claims histories, insurance score, and other factors to calculate an accurate rate for your insurance. New or updated information may be used to calculate your renewal premium.

I Agree

All the above information is accurate and true to the best of my knowledge.*

Yes

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