Go to AMIS Home Page

Insurance Quick Quote

Private Investigators, Insurance Adjusters, Accident Reconstructionists, Forensic
, Background & Record Retrievers, Attorney Services, and Process Servers


  If both addresses are the SAME, please leave MAILING Address BLANK.
Business Phone: - - Home Phone: - -
Mobile Phone: - - Fax Number: - -

Information About Your Business

(if applicable)
(150 characters)
EMPLOYEES ONLY; Not Owners, Partners, Officers or Clerical
(For subcontractors / vendors who DO have insurance)
(For subcontractors / vendors who do NOT have insurance)

Percentage of Each Type of Work Performed

Total must equal 100%
  *** ***
  *** (150 characters)

Indicate on Behalf of Whom These Services Are Performed

Total must equal 100%
    (150 characters)

Claims or Public Adjusters

  If YES, please complete this section.  

(50 characters)

(100 characters)
If YES, please list for what companies and what amounts:
Company    Amount

Claims / Public Adjuster Income Sources

Total must equal 100%
  - (255 characters)

Claims / Public Adjuster Income Areas

Total must equal 100%
  - (255 characters)

Desired Terms for Quote

Requested Effective Date for New Policy:    / / (M / D / YYYY) 
Limits of Liability:
($150 plus taxes each)
($150 plus taxes)
(Excess over employee's $25,000 personal auto)

Current Insurance Information

NOTE: We will need loss runs prior to binding coverage.
(200 characters)
  If YES, please complete this section.

Licensed Agent / Broker Information

  If YES, please complete this section.
Prior to binding any coverage with AMIS, we must have a signed Broker Agreement, a copy of your Broker/Insurance License, and a copy of the declaration page of your E & O Insurance policy. Click here for more information.
  If NO, please complete this section.
Contact Person Phone: - -
E&O Policy Expiration Date: / / (M / D / YYYY) 

Comments, Priority, Terms of Use

(200 characters)
Please Prioritize Your Request:

By submitting this quick quote application, you declare that:
  • the information you are providing is accurate and complete to the best of your knowledge and belief
  • you have read and agree to our underwriting conditions
  • you have read and agree to our Fraudulent Acts Notice
  • you have read and agree to our California Notice (CA businesses only)
  • you have read and agree to our International Operations Notice
  • you have reviewed and confirm as true, correct and complete each of the representations and warranties and all other information set forth in the application.
Depending on the size of the risk, a full completed application may be required in order to receive a formal quotation prior to binding coverage. AMIS may elect to withdraw any indication quote upon review of a full completed application if the application does not meet the underwriting guidelines of the insurance company. Click here to view the underwriting conditions.
AMIS/Alliance Marketing & Insurance Services does not warrant or guarantee suitability or adequacy of coverage in meeting any generic, specific or contractual requirements of any insurance company, state, county, corporation, public entity, or public party that you may provide services to during the policy period, including any written or oral request forwarded to AMIS or its staff. You assume the risk of obtaining suitable or adequate coverage to meet any generic, specific or contractual requirements of your client or company. The information contained herein is provided with the understanding the AMIS is not engaged in rendering legal services, including legal opinions or advice, or professional risk management consulting. If legal services or professional services are required, you will need to seek the advice of legal counsel.

ATTENTION: You must click the Submit button to complete this request for a quote.
Please wait for an acknowledgement before closing your browser or window.

NOTE: An application or information form is not an insurance policy and does not bind any coverage. All applications must be underwritten and a quotation will be issued subject to underwriting guidelines. The quotation does not bind coverage.