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4209 Highway 41 N., Ste 6

Evansville, IN 47711

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Your KEY to Quality, Value and Savings Since 1948

809 S. Green River Road

Evansville , IN 47715

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4209 Highway 41 N., Ste 6

Evansville, IN 47711

809 S. Green River Road

Evansville , IN 47715

This is a placeholder for the Yext Knolwedge Tags. This message will not appear on the live site, but only within the editor. The Yext Knowledge Tags are successfully installed and will be added to the website.

4209 Highway 41 N., Ste 6

Evansville, IN 47711

Motorcycle Insurance

Prefer two wheels to four? We've got you covered! Contact us for a FREE quote.

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If yes, List carrier and number of months insured. If none, type N/C

If insured, Current premium per 12 months?

Rate Your Credit History and Past Insurance Payment History: *

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DRIVER INFORMATION #1

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Age *

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# Years U.S. Licensing *

Daily commute in ONE WAY miles: *

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Do you have any impairments that would affect your driving ability?

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If Yes, Please explain:

Are you a member of the military?

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Have you ever had a ticket for:

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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:

# and type of accidents last 3 years: *

# and type of MINOR violations last 3 years: *

# and type of MAJOR Violations last 10 years: *

Does Driver need filing?

If YES to SR22/SR50, why filing needed?

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DRIVER INFORMATION #2

Name

Age

Gender

Male

Female

Married Status

Married

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# Years U.S. Licensing

Dailey Commute In One Way Miles

Select One That Applies

Do you have any impairments that would affect your driving ability?

Yes

No

If Yes, Please explain

Are you a member of the military?

Yes

No

Have you ever had a ticket for:

Free Text

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:

# and type of accidents sin the last 3 years:

# and type of minor violations in the last 3 years:

# and type of Major violations in the last 10 years:

Does Driver need filing?

If YES to SR22/SR50, why filing needed?

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Motorcycle VEHICLE INFORMATION

(if "Non-Owners", type "NON-OWNER" in "YEAR" Field)

Number of Vehicles

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Motorcycle #1:

Year of vehicle *

Make and Model *

Annual Mileage *

Used in business?

Yes

No

If Yes, Explain:

Has this vehicle been?

Owner of vehicle

Month/ year vehicle was purchased?

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Motorcycle #2:

Year of vehicle *

Make and Model *

Annual Mileage *

Used in business?

If Yes, Explain:

Has this vehicle been?

Owner of vehicle

Month/ year vehicle was purchased?

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Coverages:

Liability

Do you want Medical?

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No

If yes:

Do You Want Uninsured Motorist Protection?

Comprehensive?

Collision?

Rental Reimbursement?

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Towing/ Roadside?

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Additional Information: Driver's, vehicles, etc

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(812) 671-0592

I've been with them for years and have always had a good experience. Five stars.

- Kris Smithhart

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Hartke Insurance

GREEN RIVER ROAD LOCATION

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(812) 491-3301 - Fax

Location Details

HOURS

Mon - Fri 9:00 am - 4:30 pm

Sat 9:00 am - 12:00 pm

Sun Closed

HIGHWAY 41 N. LOCATION

4209 Highway 41 N., Suite 6

Evansville, IN 47711

(812) 429-2886
(812) 429-2888 - Fax

Location Details

HOURS

Mon Closed

Tue 8:30 am - 6:00 pm

Wed - Fri 8:30 am - 4:30 pm

Sat 8:30 am - 12:30 pm

Sun Closed

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