Free Michigan Auto Insurance Quotes
You are requesting quotes from Thomas A. Arce; a licensed Independent Insurance Agent in Michigan. I want to make it Fast and Simple for you to shop and buy Michigan Auto Insurance. More importantly, I want to save you money.

Complete this simple form and you will receive quotes from up to 5 auto insurance companies that accept drivers with a DUI conviction. You can also call me toll free at 1-800-841-ARCE(2723). It is best to have all driver license, vehicle, and insurance information handy.

Still need additional Car Insurance Quotes? By clicking here you can get additional rate comparisons from our National Insurance Partners. Whether you buy insurance from me or purchase online from our partner companies, we are here to help you save money.

 
 Insured Information
  Your Name *
  Address
  City
  State/Province
  Zip/Postal Code
  Do you own your Home? Yes  No
  Phone *
  Social Security Number
  Email *
  How did you hear about us?
 
 Current Insurance
  Do you presently have Auto Insurance? Yes  No
  Company Name
  Renewal Date
  Premium
  Do you have Health Insurance? Yes  No
  If Yes, please list your Health Insurance Company's name
 
 Current Coverages
  Bodily Injury Liability
  Property Damage Liability
  Medical Payments
  Uninsured Motorist Liability
  Underinsured Motorist Liability
 
 Licensed Drivers
   1. (Primary Driver)
  Name on License
  License State
  License Number
  Date of Birth
  Gender Male  Female
  Martital Status Married
Single
Divorced
Widowed
  Relationship to Applicant
  Occupation (Discounts may apply)
  Tickets and Accidents
  (last 5 years)
  2.
  Name on License
  License State
  License Number
  Date of Birth
  Gender Male  Female
  Marital Status Married
Single
Divorced
Widowed
  Relation to Applicant
  Occupation (Discounts may apply)
  Tickets and Accidents
  (last 5 years)
 
 Other Drivers
   Please provide the names and birthdates of any other residents in your household licensed to drive.
  Name Date of Birth Drivers License Number
1.
2.
3.
 
 Vehicle(s) Information
   1.
  Year
  Make
  Model
  VIN
  Annual Mileage
  Bodily Injury Liability
  Property Damage Liability
  Medical Payments
  Comprehensive Deductible
  Collision Deductible
  Rental Reimbursement Yes  No
  Towing & Labor Yes  No
  4-Wheel Drive Yes  No
  Alarm System Yes  No
  Air Bags Yes  No
  Anti-Lock Brakes Yes  No
  2.
  Year
  Make
  Model
  VIN
  Annual Mileage
  Comprehensive Deductible
  Collision Deductible
  Rental Reimbursement Yes  No
  Towing & Labor Yes  No
  4-Wheel Drive Yes  No
  Alarm System Yes  No
  Air Bags Yes  No
  Anti-Lock Brakes Yes  No
  3.
  Year
  Make
  Model
  VIN
  Annual Mileage
  Comprehensive Deductible
  Collision Deductible
  Rental Reimbursement Yes  No
  Towing & Labor Yes  No
  4-Wheel Drive Yes  No
  Alarm System Yes  No
  Air Bags Yes  No
  Anti-Lock Brakes Yes  No
  * indicates required fields   Disclaimer Notice - The premiums quoted are estimates based on information you provided. This quotation does not constitute a contract of insurance, nor does it provide coverage for any loss or claim. Coverage can only be bound by an agent with a signed application and a down payment. Privacy Notice - At MichiganDUI.com your privacy is important to us, as is your trust in our products and services. We do not share your personal information with other third parties for their independent use. We never sell customer information. We do not control the privacy practices of the participating Insurance Providers. However, all the Insurance Providers use the information you submit for one general purpose: to provide you with an accurate insurance quote.