Florida Personal Auto Quote Assessment Advanced Carrier-Style Version • Screening only • Mock logic, not real rates Time: 00:00 1. Applicant Information Start the quote in a structured order similar to a carrier workflow. Candidate Name Required. Applicant Full Name Required. Date of Birth Required. Marital Status Select Single Married Divorced Widowed Required. Phone Required. Email Required. 2. Garaging Address Use the Florida garaging address and complete this section carefully. Street Required. City Required. State Select FL Required. ZIP Required. Residence Type Select Own Rent Other Required. Months at Address Required. 3. Prior Insurance / Lapse History Complete prior coverage details before moving into driver information. Currently insured? Select Yes No Required. Prior Carrier Months Continuous Coverage Any lapse in coverage in last 12 months? Select No Yes Required. 4. Driver Information This step evaluates ordered process and completeness. Primary Driver License State Select FL Required. Years Licensed Required. Occupation Required. Any accidents in last 3 years? Select No Yes Required. Any violations in last 3 years? Select No Yes Required. Add additional driver? Select No Yes Required. Additional Driver Name Relationship Additional Driver DOB Years Licensed 5. Vehicle Information Complete the vehicle section in full before proceeding. Vehicle Year Required. Make Required. Model Required. VIN (mock) Required. Primary Use Select Commute Pleasure Business Required. Owned / Financed / Leased Select Owned Financed Leased Required. Lienholder Name Vehicle garaged at home address? Select Yes No 6. Usage & Underwriting Answer the underwriting questions carefully. Estimated annual miles Required. Driver requires SR-22? Select No Yes Required. Any excluded household drivers? Select No Yes Required. Exclusion Notes Homeowner? Select Yes No Required. Paperless / EFT eligible? Select Yes No Required. 7. Coverage Selection Select the requested coverage package. Bodily Injury Select 10/20 25/50 50/100 100/300 Required. Property Damage Select 10,000 25,000 50,000 100,000 Required. PIP Deductible Select No Deductible 250 500 1000 Required. Comprehensive Deductible Select 250 500 1000 No Coverage Required. Collision Deductible Select 250 500 1000 No Coverage Required. Roadside / Rental Select None Roadside Rental Both Required. 8. Discounts & Eligibility Finish the quote by confirming discounts and eligibility. Multi-car? Select No Yes Required. Homeowner discount eligible? Select No Yes Required. Paperless discount eligible? Select No Yes Required. Preferred prior limits? Select No Yes Required. 9. Quote Review Review the information before generating the mock quote. 10. Final Quote Summary Mock Premium Estimate $0/mo $0 / 6 months Training and assessment only. Rates are not real. Submit Assessment Back Save Progress Next
