SF Services is Celebrating 30 years!
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First Name
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Last Name
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Email
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Phone
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Gender
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Date of Birth
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Social Security Number
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Address
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How long have you lived at your current address?
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Do you rent or own your home?
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Rent
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VIN of Vehicle
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Year of Vehicle
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Make and Model of Vehicle
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Is this vehicle:
*
Used for a driving service (example: Uber, Lyft)
Used for delivery (example: pizza, GrubHub, DoorDash, etc.)
Ride share
None of the above
What is the primary use of your vehicle?
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Work, 0-10 miles
Work, 10-20 miles
Pleasure usage
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Any tickets in the last 3 years?
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If yes, what are they for?
Any accidents in the last 3 years?
*
Yes
No
If yes, what accidents?
Who is your current carrier and what are your liability limits?
*
Have more than one vehicle? Add one or more below! Information needed: VIN, year, make, & model of vehicle. What is the vehicle primarily used for. Driver's license and license plate numbers. Education levels completed. Tickets and accidents in the last 3 years. Current carrier and liability limits.
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Personal
Home Insurance
Auto Insurance
Life Insurance
Business
Our Team
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Make A Claim
Call: (816) 795-5108
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