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Thank you for requesting a proposal from McCollum Insurance. Please respond to the information requested below.

We represents a carefully selected group of financially strong, reputable insurance companies, therefore, we are able to offer you the best coverage at the most competitive price.

When you respond, we will shop through multiple insurance companies to find the best coverage and value for you.

Insurance Proposal Request

Name*
First Last
Phone*
Email*
How did you hear about us?*
Names, Dates of Birth, and Drivers License #'s for any drivers in the house
Dates and Details for any claims (At Fault and Not at Fault), violations, and suspensions in the last 5 years
Miles One Way to Work for Each Car
Annual Miles for Each Car
Job Description
Are any vehicles used for ridesharing, business use, or other delivery services?
Dates and Brief Details for any home claims in the last 5 years
Approximate Age of Roof and Heater
Approx. Date Electric was last updated
Any Knob and Tube Wiring in your home?
Do you have a Pool or Trampoline?
Do you have any Pets? If yes, what?
Comments
Please upload your most current Home and Auto Insurance Declaration Page, so we can see your exact coverage limits. This is required, so we can request the best available coverage and pricing from our Insurance Company Partners. If you do do not have this information, you can request from your Insurance Company or Agency.
Drop files here or

Max. file size: 39 MB.
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What Our Clients Say

“Being in the service industry, I have high expectations of other agencies and McCollum Insurance has surpassed them. Many thanks to Sean for simplifying the application process and accommodating my schedule. Reducing my current insurance premium by over $500 is a lovely bonus as well. I would not hesitate to recommend you to both friends and clients! Many Thanks”

Maureen Smyth, Havertown PA

“As a health insurance broker, I think I know a thing or two about professional services and probably demand more than the average consumer in this area. The McCollum Insurance Agency checks all the boxes! The top 2 in my book are responsiveness and a wide selection of carriers to get you the best rates possible. What has impressed me most is how they deliver old-school service with the latest technology”
James Long, Royersford PA

“Switching to McCollum Insurance almost 13 years ago was one of the smartest decisions I’ve made for my company. In addition to offering competitive rates their customer service is second to none. The nature of our business requires almost weekly phone calls to the McCollum staff. Brian, Sean and all of the associates are always prompt in answering our questions and more importantly are proactive in helping us keep track of the various policies that they carry for us. I highly recommend The McCollum Agency for all your business and personal needs”
John Serock Catering, West Chester PA

See more of what our current clients have to say here.

Request Your Proposal Here

Are you ready to save time, aggravation, and money? The team at McCollum Insurance is here and ready to make the process as painless as possible. We look forward to meeting you!

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