Get A Quote How Can We Help? Name Email Address Phone Number What type of insurance are you interested in? What type of insurance are you interested in?Home Owners InsuranceRenters InsuranceCar InsuranceCommercial/Business InsuranceLife InsuranceHealth & Medicare InsuranceFlood InsuranceRental Property InsuranceFarm & Ranch InsuranceRecreational Vehicle Insurance Click here if you wouldl ike to receive our Newsletter. Click here if you wouldl ike to receive our Newsletter. Yes, I would to receive your Newsletter. Year Built? What is the proerty address? Square Footage (Excluding Basement and Garage) Total Replacement Value of Home Is it used as primary, secondary residence or rental? Any detached shops,garages, barns that you would like insured? Please List. Additional Info or Comments Physical Address Is this a single family home, mobile home, apartment or duplex? How many adults and children live in the home? Amount of personal property coverage (Recommended amount is at least $20,000 per adult) (Leave blank if not sure) Additional Info or comments Names and ages of all drivers Please list each vehicle to be insured (Year, make and model) Additional Vehicle Liability Only Liability Only Yes No Additional Vehicle Liability Only Liability Only Yes No Additional Vehicle Liability Only Liability Only Yes No Driver's Names and Date of Birth Do you currently have active auto insurance? Do you currently have active auto insurance? Yes No Physical Address Is this quote for personal or commercial insurance? Is this quote for personal or commercial insurance? Commercial Personal Additional Info or Comments Your name, any partner’s names, and the name of your business How many years of experience in this business? When did your business start? When did your business start? What is the nature of your business? (please be as descriptive as possible) What are the estimate gross receipts for the next year? (how much money will be flowing in and out of your business. This is so the insurance company can gauge the size of your business) Do you have any employees? Do you have any employees? Yes No Do you use subcontractors? Do you use subcontractors? Yes No If you would like additional coverage such as commercial auto or work comp, please include in your message. If you need coverage for tools, machinery, equipment or for a building you are renting, please include that information as well. Additional Info and Comments Age Smoker or non smoker? Smoker or non smoker? Yes No What dollar amount of coverage are you looking for? Are you looking for a 10, 20 or 30 year term? Are you looking for a 10, 20 or 30 year term? 10 Year 20 Year 30 Year What goal are you hoping to achieve with Life insurance? (Support for a dependent, death expenses, pay off debt in case of death, etc) What goal are you hoping to achieve with Life insurance? (Support for a dependent, death expenses, pay off debt in case of death, etc) 10 Year 20 Year 30 Year Additional Info or Comments Additional Info or Comments 10 Year 20 Year 30 Year Name and age for each person needing insurance and if they are a smoker or non-smoker Are yuo looking for Medicare or regular health insurance? Are yuo looking for Medicare or regular health insurance? Medicare Regular Health Insurance Address of Rental Property Replacement cost of home Long term or short term rental (such as VRBO) Long term or short term rental (such as VRBO) Long Term Short Term Do you need coverage for furnishings or appliances in the home? Who is your primary home insured with? Type of foundation Age Home Address Rebuild value of home Is flood insurance required by your mortgage company/bank? Is flood insurance required by your mortgage company/bank? Yes No Additional Info or Comments Farm Address How many homes, garages, barns, shops and other buildings are on your property? Do you own homes in other locations? What is the replacement cost of your primary home? What types of farming exposure do you have? (Cattle, orchards, etc) Please provide a size estimate of your farm or ranch (example: 300 head of cattle, 200 acres of farmland, 5 acres of orchards ,etc) Do you lease any of your land out? Do you lease any of your land out? Yes No How many vehicles, tractors and machines would you like insured? Who are you insured with now? Any claims in the last 5 years? Any claims in the last 5 years? Yes No Physical Address if different from above? Year, make, model of each vehicle and the value Type of Vehicle (Fourwheeler, snowmobile, etc) Number of ccs or horsepower For motor homes, 5th Wheels and Camping Trailers- What is the length and # of slides? Is the vehicle street legal? Is the vehicle street legal? Yes No For boats only- what is it used for? Is the motor inboard or outboard? For boats only- what is it used for? Is the motor inboard or outboard? Yes No 12 + 12 = Submit Get In touCh Get a Free Quote or Schedule an Appointment Name Email Address Phone Number What type of insurance are you interested in? What type of insurance are you interested in?Home Owners InsuranceRenters InsuranceCar InsuranceCommercial/Business InsuranceLife InsuranceHealth & Medicare InsuranceFlood InsuranceRental Property InsuranceFarm & Ranch InsuranceRecreational Vehicle Insurance Click here if you wouldl ike to receive our Newsletter. Click here if you wouldl ike to receive our Newsletter. Yes, I would to receive your Newsletter. Year Built? What is the proerty address? Square Footage (Excluding Basement and Garage) Total Replacement Value of Home Is it used as primary, secondary residence or rental? Any detached shops,garages, barns that you would like insured? Please List. Additional Info or Comments Physical Address Is this a single family home, mobile home, apartment or duplex? How many adults and children live in the home? Amount of personal property coverage (Recommended amount is at least $20,000 per adult) (Leave blank if not sure) Additional Info or comments Names and ages of all drivers Please list each vehicle to be insured (Year, make and model) Additional Vehicle Liability Only Liability Only Yes No Additional Vehicle Liability Only Liability Only Yes No Additional Vehicle Liability Only Liability Only Yes No Driver's Names and Date of Birth Do you currently have active auto insurance? Do you currently have active auto insurance? Yes No Physical Address Is this quote for personal or commercial insurance? Is this quote for personal or commercial insurance? Commercial Personal Additional Info or Comments Your name, any partner’s names, and the name of your business How many years of experience in this business? When did your business start? When did your business start? What is the nature of your business? (please be as descriptive as possible) What are the estimate gross receipts for the next year? (how much money will be flowing in and out of your business. This is so the insurance company can gauge the size of your business) Do you have any employees? Do you have any employees? Yes No Do you use subcontractors? Do you use subcontractors? Yes No If you would like additional coverage such as commercial auto or work comp, please include in your message. If you need coverage for tools, machinery, equipment or for a building you are renting, please include that information as well. Additional Info and Comments Age Smoker or non smoker? Smoker or non smoker? Yes No What dollar amount of coverage are you looking for? Are you looking for a 10, 20 or 30 year term? Are you looking for a 10, 20 or 30 year term? 10 Year 20 Year 30 Year What goal are you hoping to achieve with Life insurance? (Support for a dependent, death expenses, pay off debt in case of death, etc) What goal are you hoping to achieve with Life insurance? (Support for a dependent, death expenses, pay off debt in case of death, etc) 10 Year 20 Year 30 Year Additional Info or Comments Additional Info or Comments 10 Year 20 Year 30 Year Name and age for each person needing insurance and if they are a smoker or non-smoker Are yuo looking for Medicare or regular health insurance? Are yuo looking for Medicare or regular health insurance? Medicare Regular Health Insurance Address of Rental Property Replacement cost of home Long term or short term rental (such as VRBO) Long term or short term rental (such as VRBO) Long Term Short Term Do you need coverage for furnishings or appliances in the home? Who is your primary home insured with? Type of foundation Age Home Address Rebuild value of home Is flood insurance required by your mortgage company/bank? Is flood insurance required by your mortgage company/bank? Yes No Additional Info or Comments Farm Address How many homes, garages, barns, shops and other buildings are on your property? Do you own homes in other locations? What is the replacement cost of your primary home? What types of farming exposure do you have? (Cattle, orchards, etc) Please provide a size estimate of your farm or ranch (example: 300 head of cattle, 200 acres of farmland, 5 acres of orchards ,etc) Do you lease any of your land out? Do you lease any of your land out? Yes No How many vehicles, tractors and machines would you like insured? Who are you insured with now? Any claims in the last 5 years? Any claims in the last 5 years? Yes No Physical Address if different from above? Year, make, model of each vehicle and the value Type of Vehicle (Fourwheeler, snowmobile, etc) Number of ccs or horsepower For motor homes, 5th Wheels and Camping Trailers- What is the length and # of slides? Is the vehicle street legal? Is the vehicle street legal? Yes No For boats only- what is it used for? Is the motor inboard or outboard? For boats only- what is it used for? Is the motor inboard or outboard? Yes No 11 + 2 = Submit Location 1088 North Meridian Rd., Kalispell, MT 59901 Call Us 406-755-0719 Email Facebook Montana First Insurance is headquartered in Kalispell, MT, and provides insurance to customers throughout Montana, North Dakota and Washington state. © 2021 Montana First Insurance. Website designed and developed by Glacier IT. Services Name Email Address Message Send Message
