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indiana auto insurance
Hartke Insurance Indiana auto insurance
Great Indiana Auto Rates! Let Us Compare Rates of 25+ Companies.
We Will Find You the Lowest Down Payment & Monthly Installment!
 indiana auto insurance
indiana auto insurance

Great
Indiana
Auto Rates!

High Quality
Service!

Call Us for a
RUSH Quote.
We can place
Coverage
INSTANTLY!*

 
Or, Get A FREE
Quote On-Line
 
 
Auto Insurance
"D.W.I." Insurance
Motorcycle Ins.
SR22 Insurance
SR50 Insurance
Non-Owners Ins.
Teen Drivers
Homeowners
Life Insurance

 
Contact Us
 
 
E-Mail:
hartkeinsurance
@greatautorates.com

Phone:
Toll-Free:
 1-866-202-2011
Direct Line:
 1-812-476-5200

Fax:
1-812-476-5200

Mailing Address:
729 S. Green
River Road
Evansville,
IN 47715
(Across from Lawndale Shopping Center, next to Colonial Garden Center)

Insurance
License #:
2109390

Meet Our Staff!

For Your
Convenience,
We Accept:

indiana auto insurance

"Remember...All
Our Policies
Come With An
Agent!"

What Indiana Residents are saying about Hartke Insurance:

  "Indiana's most affordable auto rates..."

  "Wow - LOW, LOW auto insurance prices..."

  "Call them to save money on your auto insurance..."

  "Some of the best insurance quotes online, period..."

* (No coverage bound until receipt of signed applications and valid payment is received and acknowledged by our office. Full coverage policies may require a vehicle inspection, and some quotations may take longer.)

indiana auto insurance

On-Line Teen &
Young Driver Automobile
Insurance Quote Form
One Simple Form - takes only 2-3 Minutes!
Your Personal Data

Your Name:
Street Address:
City:
State: MUST be Indiana!
Zip Code:
E-Mail (REQUIRED):
E-Mail again for accuracy:
Phone:
Fax (optional):
 
Live With Parents?
Yes No
Currently on
Parent's Policy?
Yes No
 
Are You Trying to
Get Your Own Policy?
Yes No
Good Student?
(B Grades + in solid subjects)
Yes No
 
Currently Insured?
(If yes, list carrier, and # of years
continuous. If none, type N/C)
 
If insured, what is are you currently
paying per 12 months? 		$
 
Rate Your Credit History and Past Insurance Payment History:
(Some companies products are
based on your credit and payment history.) 		Excellent Fair
Poor Horrible
 
Have you ever had a ticket for Reckless Driving, DUI, Leaving the Scene, had a license suspended, or a Felony Conviction? Yes No

DRIVER INFORMATION #1
Name: Birthdate:
Sex (M/F): # Years U.S.
 Licensing:
Be specific to tell if accidents are "at-fault" or "NOT-at-fault" - (carriers require proof on NOT-at-fault accidents); Also, be specific as to TYPE of violations, and approximate DATES of each in the fields below:
Number & Type of Accidents last 3 years: Number & Type of MINOR Violations last 3 years:
Number & Type of MAJOR Violations last 3 years: Daily commute
in ONE WAY miles:
Does Driver need
an SR22 or SR50 FILING?		 Yes No If YES to SR22/SR50, why filing needed?

DRIVER INFORMATION #2 (if none, leave blank)
Name: Birthdate:
Sex: # Years U.S.
 Licensing:
Be specific to tell if accidents are "at-fault" or "NOT-at-fault" - (carriers require proof on NOT-at-fault accidents); Also, be specific as to TYPE of violations in fields below:
Number & Type of Accidents last 3 years: Number & Type of MINOR Violations last 3 years:
Number & Type of MAJOR Violations last 3 years: Daily commute
in ONE WAY miles:
Does Driver need
an SR22 or SR50 FILING?		 Yes No If YES to SR22/SR50, why filing needed?

VEHICLE #1 INFORMATION
(if "Non-Owners", type "NON-OWNER" in "YEAR" Field)
Year of vehicle: Make & Model:
Annual Mileage: Used in business?
(Explain, if yes):
VEHICLE #1 COVERAGES:
Limits of
Liability:		 $25/50 BI / 10 PD $50/100 BI / 25 PD
$100/300 BI / 50 PD $250/500 BI / 100 PD
 
Comprehensive
& Collision:		 NO Coverage $250 Deductible
$500 Deductible $1000 Deductible
 
Do you want
Medical Coverage?		 Yes No   Uninsured
  Motorists Cov.?		 Yes No
 
VEHICLE #2 INFORMATION (if none, leave blank)
Year of vehicle: Make & Model:
Annual Mileage: Used in business?
(Explain, if yes):
VEHICLE #2 COVERAGES:
Limits of
Liability:		 (Liability Limits Must Be the Same As Chosen for Vehicle #1)
 
Comprehensive
& Collision:		 NO Coverage $250 Deductible
$500 Deductible $1000 Deductible
 
Do you want
Medical Coverage?		 Yes No   Uninsured
  Motorists Cov.?		 Yes No
Comments or Remarks:
(List additional drivers, autos, etc. here)

Send my quotation via: E-Mail Fax
Regular Mail
Call me by Phone!

Thank you for filling out this form COMPLETELY!

We value your input as PRIVATE information. Every step has been taken to insure your privacy, security, and our intent is to release quote information only to you. We will not give your data to ANY other person or group for sales, marketing, or ANY other purposes. By checking the box below you agree to allow our agency to release this information via the method you have chosen, and to release us from any liability should this information be accidentally viewed by others. Our intention is to maintain your complete privacy.

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 indiana auto insurance
indiana auto insurance