t
THERE IS NO NEED TO SEARCH ANY FURTHER

When Athena Insurance was Established in 1996 we built the Agency with the idea of having multiple levels of insurance carrier's programs.

We offer some of the best rates and Insurance Carriers in the United States of America!

And, we maintain relationships with Insurance Companies that provide insurance protection for good drivers and other Companies that will provide protection for the  "not so good drivers."

We believe in keeping a good variety of Insurance Carriers program's to meet your needs.

We have rates for Senior drivers, Mature adults, Youthful Operators... Good Student drivers.. we can help almost everyone with "our market mix."

Need to have a personal conversation with a 'licensed' and trained Broker? Call us 888-299-1870, or submit an online confidential request.

Your information is kept confidential and will be used to evaluate and provide you with the best coverage and prices available.

Please note;  coverage cannot be bound by submitting a request for a quotation.

If you need coverage immediately you must contact us during normal business hours which are:

Monday thru Thursday 9:00am to 4:30pm

Fridays 9:00am to 3:00pm

Closed Holidays and weekends.

However, to accomodate your needs we may be able to make special arrangements on a case by case basis subject to personnel-staff availability.

For existing Clients needing to report a claim or make payments please click here.

Automobile Insurance Quote Request - (quote only - no binding )

First Name Middle Int.   Last Name

Mailing Address City     

State   Zip Code   phone number  

Email address   Contact me by phone  

Physical Garaging location of vehicle(s). (if some vehicles are garage at different locations please identify which vehicles and provide the zip code)

  • Physical location street name if different

Street City

State Zip Code    (AK, AZ, CA, CO, OR AND NV ONLY)

  • DRIVER 1 INFORMATION -

Name driver 1 First   Last

Driver 1 Date of Birth License

Occupation(s)

  • Driver 1 please list all violations here (include dates please) :

List all violations for the last Three and Five year periods. Most of our insurance carriers look back only three years for minor violations;   up to 10 years for some major violations.

We ask about any minor violations in the last five years because a few of our Insurance Companies offer Superior type discount* for clean driving records in the last five years.

Complicated I know...but that is what we are here for to help you make your way thru the maze of companies and their underwriting rules. Please help by providing accurate information.  

And remember...we do not charge broker fees! So we need to be accurate the first time.

Auto Year   Make   Model #wheel drive

Vehicle Identification Number (optional but the VIN makes the quote more accurate)

Auto VIN   any existing damage ?      Yes   No

Auto 1 use:   Commute How many miles one way to work?       Pleasure only

Next driver

  • DRIVER 2 INFORMATION

First Name   Mi   Last Name

Occupation(s)

Date of Birth   License number

Auto Year   Make Model   # wheel drive

Auto 2 use: Commute How many miles one way to work ?   Pleasure only

  • DRIVER 3 INFORMATION-

First Name   Middle Init.   Last Name

Occupation(s)

Date of Birth   License number

Auto Year   Make Model #wheel drive

Auto use: Commute How many miles one way to work? Pleasure only

  • DRIVER 3 LIST ALL VIOLATIONS - INCLUDE DATES

If you are one of our field agents completing this form please input your Initials here and we will get back to you as soon as possible