brown cows in a field with term farm quote request the Young Agency with Firefly Insurance

Farm Insurance Quote

Complete as much as you can of the information to request a farm insurance quote. We will be in touch then to gather additional inforamation. Then we’ll provide you with up to seven farm insurance quotes, and make a recommendation for which company and product is the best fit for you.

Contact Name *

First

Last

Name of Farm or DBA

Mailing Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Website / URL

Farm Information

Years farming experience *

Type of Entity *

Type of Farming/Ranching

Who does the farming / Ranching? *

Current Insurance Information

Name of Current Carrier

Expiration Date of Current Policy

Desired Farm & Personal Liability Limits

Medical Payments to Others Limit:

If you have employees:

Employer's Liability
Do your provide Employee Benefits?
Do you currently carry Employment Practices Liability Insurance?

Number of employees (Full-time)

Number of employees (Part-time)

Location 1 Information

Address (if different that mailing address)

Number of Acres

Location 2 Information

Address

Number of Acres

Do you have more than 2 locations?

Additional Information

We will gather additioanl information regarding additional insureds, dwelling and farm structures, equipment, livestock, etc. during our inital meeting.

Upload your current declarations page.

Click or drag files to this area to upload. You can upload up to 6 files.

You may upload your current insurance information or declarations pages, if you have them available.

Want to keep up with the latest in farm trends and insurance needs?

Visit the Farm Insurance People’s Facebook Page

Farm Insurance People

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Website Disclaimer – Review Carefully

This information is not an offer to sell insurance. Insurance coverage cannot be bound or changed via submission of this online form/application, e-mail, voice mail or facsimile. No binder, insurance policy, change, addition, and/or deletion to insurance coverage goes into effect unless and until confirmed directly with a licensed agent. Note any proposal of insurance we may present to you will be based upon the values developed and exposures to loss disclosed to us on this online form/application and/or in communications with us. All coverages are subject to the terms, conditions and exclusions of the actual policy issued. Not all policies or coverages are available in every state. You also agree to release us from any liability if this information is accidentally viewed by unauthorized persons. We will only use this information for insurance quoting purposes and not distribute to other parties.