Auto Insurance Quote

Name
First Last
Email
Home Phone
Work Phone
Address
Street Address Address Line 2 City State ZIP Code
County
Current Carrier
Policy Number
When can we contact you?
- Day
- Night
Driver #1
Name
First Last
Marital Status
Sex
Date of Birth
Driver's License
Principal Vehicle
Tickets/Accidents
Do you have a second driver to add?
- Yes
- No
Driver #2
Name
First Last
Marital Status
Sex
Date of Birth
Driver's License
Principal Vehicle
Tickets/Accidents
Do you have a third driver to add?
- Yes
- No
Driver #3
Name
First Last
Marital Status
Sex
Date of Birth
Driver's License
Principal Vehicle
Tickets/Accidents
Do you have a fourth driver to add?
- Yes
- No
Driver #4
Name
First Last
Marital Status
Sex
Date of Birth
Driver's License
Principal Vehicle
Tickets/Accidents
Vehicle #1
Make/Model
Year
VIN Number
Do you have:
- Lessor
- Lienholder
- Add'l Insured
Name of Lessor/Lienholder/Add'l Insured
Usage
- Pleasure: 0-3 mi daily
- Business
- Commute: 3-15 mi daily
- Commute: Over 25 mi daily
Do you have a second vehicle to add?
- Yes
- No
Vehicle #2
Year
VIN Number
Do you have:
- Lessor
- Lienholder
- Add'l Insured
Name of Lessor/Lienholder/Add'l Insured
Usage
- Pleasure: 0-3 mi daily
- Business
- Commute: 3-15 mi daily
- Commute: Over 25 mi daily
Do you have a third vehicle to add?
- Yes
- No
Vehicle #3
Make/Model
Year
VIN Number
Do you have:
- Lessor
- Lienholder
- Add'l Insured
Name of Lessor/Lienholder/Add'l Insured
Usage
- Pleasure: 0-3 mi daily
- Business
- Commute: 3-15 mi daily
- Commute: Over 25 mi daily
Do you have a fourth vehicle to add?
- Yes
- No
Vehicle #4
Make/Model
Year
VIN Number
Do you have:
- Lessor
- Lienholder
- Add'l Insured
Name of Lessor/Lienholder/Add'l Insured
Usage
- Pleasure: 0-3 mi daily
- Business
- Commute: 3-15 mi daily
- Commute: Over 25 mi daily
Coverage Amounts (Vehicle #1)
Vehicle
Liability
PIP/MED
UM/UIM
Coll Ded
Comp Ded
Full Glass Coverage
- Yes
- No
Rental
Towing
Misc
Coverage Amounts (Vehicle #2)
Vehicle
Coll Ded
Comp Ded
Rental
Towing
Misc
Coverage Amounts (Vehicle #3)
Vehicle
Coll Ded
Comp Ded
Rental
Towing
Misc
Coverage Amounts (Vehicle #4)
Vehicle
Coll Ded
Comp Ded
Rental
Towing
Misc
In order to drive on Minnesota highways, Liability, PIP (Personal Injury Protection), Uninsured Motorist and Underinsured Motorist coverages are required. Collision, Comprehensive, Car Rental and Towing are optional coverages. You may leave the Coverage Amount section blank and trust our expertise to build you a quote based on the driver and vehicle information you provide.

View our privacy policy.
Please remember by submitting an application for a quote does not provide or bind coverage.
Be advised by submitting your application, you agree to receive a phone call from our office for some additional personal information to give the best quote options Citizens Ins. Agency has to offer.

Contact

102 Main St South
PO Box 339
Hutchinson, MN 55350

Phone 320-587-2674
Toll 888-234-2910
Email info@ciahutch.com

Hours

Monday-Thursday
8:30am–5:00pm

Friday
8:30am–4:00pm

A wholly owned subsidiary of Citizen Bancshares of Hutchinson, MN, Citizens Insurance Agency welcomes the opportunity to help you with all of your insurance needs. Citizens Insurance Agency products are not FDIC insured, are not insured by any federal agency, are not deposits of Citizens Bank, are not guaranteed by Citizens Bank, and may lose value.

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Driver #1

Driver #2

Driver #3

Driver #4

Vehicle #1

Vehicle #2

Vehicle #3

Vehicle #4

Coverage Amounts (Vehicle #1)

Coverage Amounts (Vehicle #2)

Coverage Amounts (Vehicle #3)

Coverage Amounts (Vehicle #4)

Contact

Hours