Are you interested in packaging all of your personal insurance policies (home, auto, etc.) with The O'Neill Insurance Agency?

Thank you for contacting O'Neill Insurance!

We apologize. At this time, we are only able to serve new clients who would like to trust all of their personal insurance needs with The O'Neill Insurance Agency.

Excellent!

Thanks for giving us the opportunity to earn your trust with all of your personal insurance needs!

We want to make this process simple. How do you prefer we collect this preliminary information?

Fantastic!

Please use the link below to schedule a time with The O'Neill Insurance Agency that works best for you. Our office is open during normal business hours - Monday-Friday, 8:30 AM - 5:00 PM.

Schedule A Meeting

Here's a few things to prepare for your call:

Please have a copy of your insurance policies available as well as all driver's license numbers. We look forward to chatting with you soon!

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Complete the form below to the best of your ability. The more accurate information we have, the quicker we can propose an insurance plan for you.

Name

First Name Last Name

Phone

Email

Home Address

Street Address Address Line 2 City State/Prov./Region ZIP/Postal

How did you hear about The O'Neill Insurance Agency?

Referral
Google
Website
Community

What insurance company / agency are you currently with? Have you had any problems? How can we better serve your insurance needs?

What do you and/or your spouse do for a living?

In the past 6 years, have you had any home insurance claims?

Please describe any home insurance claims that happened in the past 6 years.

Please provide Name, Date of Birth, and Driver's License Numbers for all drivers in the household.

In the past 3 years, have any of the drivers listed above been in an accident?

Please describe the car accident(s) that occurred in the past 3 years.

What is the approximate age of the shingles on your home’s roof?

Do you have a finished basement?

Do you have a dog?

We love dogs! What breed?

Has your dog ever bitten someone?

Do you have a central fire & burglar alarm system activated in your home?

Do you have a pool?

Is your pool fenced with a locking gate?

Do you have a trampoline?

Does your trampoline have protective netting?

Do you have a freestanding wood stove?

Are any business activities conducted in your home?

Please describe the business activities conducted in your home.

In approximately what year was your roof last updated with new shingles?

We're almost done! Just a few more questions...

Do you own or rent any other properties?

Regarding the properties you own/rent, please describe their usage and location(s).

Do you own any other motor vehicles? (motorcycle, boat, atv, dirt bike, golf cart, etc.)

Please describe the additional motor vehicles you own.

Would you be willing to attach a copy of your current insurance policies (home, auto, etc.) for our review?

We will use this information to understand your current coverage and premiums, find your auto VIN numbers, and see if we can provide more value to you in proper coverage and/or insurance costs.

Please attach your current insurance policies here.

Max. file size: 300 MB.

If your current insurance policies are not attached, please provide VIN numbers for all of your vehicles.

Other than cost, what else is important to you? (Select all that apply)

Select All
Great protection for my personal assets
Being fully restored after a large home loss
Claims being covered timely and accurately
Protection from financial ruin caused by a personal liability claim
Excellent customer service

Coverage will not be bound or changed until confirmed by a licensed agent.

Untitled

First Choice
Second Choice
Third Choice

This field is for validation purposes and should be left unchanged.

Personal Insurance Quote Request

The next step is easy.

At O’Neill Insurance Agency, we know you value your personal assets. To protect those assets, we offer multiple insurance options at competitive rates. In order to truly be your personal insurance advisor, we ask for the opportunity to serve you with all your personal insurance needs.

Please complete this form to the best of your ability.

Thank you for contacting O'Neill Insurance!

Excellent!

Fantastic!

Here's a few things to prepare for your call:

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We're almost done! Just a few more questions...

About O’Neill Insurance

About Us

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The Extras

Wadsworth, OH Insurance