Make it easy for prospects to request an auto insurance quote online. This template captures vehicle information, driver history, mileage, primary use, and desired coverage level — everything your team needs to return a competitive quote quickly. No coding required, ready to embed or share as a link.
An auto insurance quote request form is the digital front door for insurance agencies and carriers looking to convert online visitors into policyholders. Instead of phone tag and back-and-forth emails, the form captures all the underwriting essentials in one structured submission — vehicle details, driver history, annual mileage, current coverage status, and desired protection level — so your team can return an accurate quote with minimal delay.
The difference between a good quote form and a great one is the questions it asks. Too few fields and your agents are still calling to gather missing data. Too many and prospects abandon before finishing. This template hits the right balance: it asks for every variable that meaningfully affects a premium (vehicle, mileage, use, accidents, coverage lapse) while keeping the experience short enough to complete in under two minutes.
formformform makes it simple to publish this form as a standalone link or embed it directly on your agency website. Every submission lands in your dashboard and triggers an instant email notification, so you can reach out to prospects while their interest is highest. No subscription fees, no submission caps, and no complicated setup.
Collects parent and teen driver details, GPA for good-student discounts, and vehicle specs for families adding a new young driver to their policy.
Captures agreed-value preferences, vehicle storage conditions, annual mileage limits, and vehicle appraisal status for collectible and vintage automobile coverage.
Gathers DOT number, fleet size, cargo type, and driver roster information for trucking companies and delivery fleets seeking commercial auto coverage.
Asks about rideshare platform (Uber, Lyft, DoorDash), weekly hours driven, personal versus commercial policy gaps, and vehicle year/model for gig economy drivers.
Collects vehicle purchase price, modifications, storage type, and agreed-value versus stated-value preferences for exotic, luxury, or high-performance cars.
Asks about license suspension reason, reinstatement date, and state requirements for drivers who need an SR-22 filing to restore driving privileges.
Captures driving frequency, typical vehicle types used, and liability coverage needs for drivers who borrow or rent vehicles but don't own one.
Includes deployment status, base location, vehicle storage during deployment, and eligibility for military-specific discounts with USAA and similar carriers.
Collects date of licensure, driver's education completion, parent/guardian co-insured status, and vehicle value for newly licensed drivers seeking their first policy.
Asks about motorcycle type (cruiser, sport, touring), engine CC, safety course completion, and seasonal storage for riders seeking moto-specific coverage.
Captures off-road vehicle type, usage (recreational vs. agricultural), storage location, and trailer towing needs for powersports equipment owners.
Lets current policyholders share their existing renewal quote amount so agents can comparison shop competing rates without a full underwriting interview.
Click 'Use this template' to start with this auto insurance quote form pre-built in your free formformform account.
Customize the vehicle fields if you specialize in specific vehicle types — for example, add a field for motorcycle CC rating or commercial vehicle class.
Add a ZIP code or state field if your rates vary significantly by location.
Set your notification email address so every quote request hits your inbox immediately.
Connect the form to your CRM or agency management system using the webhook integration if needed.
Copy the share link or embed code and add the form to your website's 'Get a Quote' page.
some prospects won't have it handy, but offering the field saves a follow-up call for those who do.
insurers rate lapsed drivers differently, and knowing upfront prevents quoting errors.
avoid dropdowns like '10,000–15,000' that introduce ambiguity into underwriting calculations.
auto premiums vary dramatically by territory, and having it upfront means no extra contact needed.
make name, email, vehicle year/make, and mileage required; make current insurer and VIN optional.
auto insurance shoppers are comparison shopping across multiple agents simultaneously; first responder often wins.
Yes — you can duplicate the vehicle fields section (year, make/model, mileage) and label them 'Vehicle 1' and 'Vehicle 2', or add a number field asking how many vehicles the applicant wants to insure before letting your team follow up for details.
Every submission is emailed to you instantly and stored in your formformform dashboard. You can also set up a webhook to push submissions directly into your CRM or agency management platform.
formformform collects and stores form data securely. For regulated insurance operations, review your state's data handling requirements and consider adding a privacy notice to the form using a paragraph field.
Yes — add fields for secondary driver name, relationship, date of birth, and driving history. You can use a 'divider' to separate primary and secondary driver sections cleanly.
You can remove the driver history and coverage-level fields to create a lighter 'request a callback' form that captures just the basics for an initial conversation.
Gather property details and coverage needs from homeowners seeking insurance quotes.
Collect everything needed to prepare accurate health insurance quotes fast.
Gather business details, revenue, and coverage needs for commercial insurance quotes.
Help policyholders ask questions and get guidance on the insurance claims process.
The classic contact form. Simple, clean, and ready to embed.
Free forever. No credit card required. Customize everything.
Use this template