Complete the details below to get your free car insurance quote |
NOTICE: If you are requesting a quote for the California Low Cost Auto Insurance Program (state-sponsored program for low income drivers), please do not complete the below form, as it will be routed to the wrong department. It's best that you apply online at www.mylowcostauto.com
Due to current market conditions, we are unable to provide you with an auto insurance quote in California without first receiving all of the documents below. Additionally, if all eligibility criteria are met, the soonest we would be able to issue new business is 30 days from the date of receipt of all acceptable documents.
It's also important to note that in many cases, the only payment option for some carriers is payment in-full.
If during the past three years you have had a lapse in coverage, we would not be able to provide a quote at this time.
Please forward the necessary documents by using one of the methods below:
Secure Upload: CLICK HERE
Agency Text Number: 805-351-3851
Agency Fax Number: 805-351-3863
Agency Email Address: service@pacificinsuresme.com
NOTE: PLEASE SEND OR UPLOAD CLEAR AND LEGIBLE COPIES TO AVOID DELAYS AND CONTACT US TO CONFIRM RECEIPT!
We are unable to offer a quote without having the necessary documents above. If uploading or texting your documents, please send us an email after with your name, current address, and phone number.
It's also important to note that in many cases, the only payment option for some carriers is payment in-full.
- Copy of Driver’s License for each Household Member
- Copy of Vehicle Registration(s)
- Copy of Current Auto Insurance Declarations (if no current and active coverage is in place, we will not be able to quote at this time)
- Copy of Letter of Experience (document that provides information on past claims or will confirm no prior losses within the past 3 years) from your current insurance company covering the past three years. You can obtain this by reaching out to the insurance company or your current agent/broker. If you had different insurance companies over the past three years, you would need to reach out to each one and request for that particular time-period.
If during the past three years you have had a lapse in coverage, we would not be able to provide a quote at this time.
Please forward the necessary documents by using one of the methods below:
Secure Upload: CLICK HERE
Agency Text Number: 805-351-3851
Agency Fax Number: 805-351-3863
Agency Email Address: service@pacificinsuresme.com
NOTE: PLEASE SEND OR UPLOAD CLEAR AND LEGIBLE COPIES TO AVOID DELAYS AND CONTACT US TO CONFIRM RECEIPT!
We are unable to offer a quote without having the necessary documents above. If uploading or texting your documents, please send us an email after with your name, current address, and phone number.
