F&T Insurance Agency

Are you a current customer?

First Name

Last Name

Nature of business/Description of operations

Type of Entity

Mailing Address

Address Line 2

City

State

Zip Code

Preferred delivery of your free quote*

Phone:

Fax

Email:

Free Text

Covered Property Information

Property Address

Address Line 2

City

State

ZIP Code

Do You Own or Lease the location

List Number and Type of Occupants in Building:

Construction Type

# of Sq. Ft. occupied

Your Annual Payroll NOT including Yoursel

Year Built

# of Units to be Insured

Free Text

Coverages to Quote

Building Amount

Business Contents Amount

Loss of Income Amount

Deductible

Liability Amount

Misc. Coverages and Amounts

Underwriting Information

Renewal Date

Current Company

Have you had any losses in the last 5 years

Comments

How did you hear about us

Please specify

Get In Touch

Business Insurance Quote

Business Insurance Quote

Westport Office

New York Office

Customer Service Desk