Please complete the form below so we can assist you with your insurance needs.
Business Name 
Business Phone 
Contact Name 
Address 
Address 
County 
City 
State 
 Zip 
Would you like an IFS Representative to call you? Yes      No  
If Yes, please enter the most convenient time and day for you to receive a call.
  
Would you like to receive information via e-mail?  Yes      No     
Which IFS services would you like to receive information about?
Business Services
 Worker’s Compensation  Business Property
 Business General Liability  Equipment & Marine Coverage
 Business Auto and Garage  Business Excess/ Umbrella Liability
 Professional Liability  Directors & Officers
 Construction Contract Surety Bonds  License and Permit Bonds
 Employee Dishonesty Coverage
Personal Services
 Homeowners  Individual Health & Disability Insurance
 Recreational Vehicles  Automobile/Classic Autos
 Motorcycles  Boats/Yachts/Jet Skis
 Valuable Personal Property  Personal excess Liability (Umbrella)
 Personal Life and Health Policies  Flood Insurance
 Individual Life Insurance
Employee Benefits
 Self-Funded Medical and Dental  Pre-Paid Legal Services, Inc.
 Voluntary Benefits  Section 125 Premium Only Plans
 Group Medical Insurance  Flexible Spending Accounts
 Group Dental & Vision Insurance  Advocacy / Assistance Programs
 Group Disability  Part-Time Employee Benefits
 Group Long Term Care Insurance
 Group Life, Accidental Death & Dismemberment
 Health Savings Accounts (HSAs) / Health Reimbursement Arrangements (HRAs)
Financial Services
 Retirement Planning

Type the number you see above: