Mikkelsen Insurance Services
Before completing the request form please read the following:
1. Quotes are available for California only. We are unable to respond to out of state requests.
2. If you do not have insurance at this time call 800-444-3199 before completing this form.
3. Please be sure all questions are answered completely.
4. We must have 3 most recent years current valued loss runs.
5. Need copy of current Declarations page.
#4 & 5 can be faxed to 209-839-8632.
6. We are unable to respond to your request without all information as requested.
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